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General NPI Number Information
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NPI Number | 1962866608
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Entity Type | Organization
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Legal Business Name | PAMPERED HANDS AND FEET
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 2245 STANFORD DR
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City | EUREKA
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State | CA
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Zip | 95503-7053
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Country | US
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Telephone | 707-502-4684
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Fax | 707-832-4171
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Provider Business Mailing Address
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Address Line | 2245 STANFORD DR
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City | EUREKA
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State | CA
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Zip | 95503-7053
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Country | US
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Telephone | 707-502-4684
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Fax | 707-832-4171
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Authorized Official
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Title or Position | OWNER
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Name | FRANCES L CINARDO
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Credential | MANICURIST
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Telephone | 707-502-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | M317572
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License Number State | CA
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