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General NPI Number Information
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NPI Number | 1952977589
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Entity Type | Organization
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Legal Business Name | PINKANDPOUTY MAKEUP & HAIR STUDIO
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 516 VETERANS BLVD STE C
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City | METAIRIE
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State | LA
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Zip | 70005-2941
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Country | US
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Telephone | 504-342-7603
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Fax |
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Provider Business Mailing Address
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Address Line | 12186 DEVENTER DR
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City | GEISMAR
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State | LA
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Zip | 70734-3372
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Country | US
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Telephone | 504-342-7603
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON L. TAYLOR
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Credential |
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Telephone | 504-342-7603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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