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General NPI Number Information
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NPI Number | 1972483188
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Entity Type | Organization
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Legal Business Name | CHARECE HOUSE OF BEAUTY
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 9318 GEATON PARK PL
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City | LANHAM
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State | MD
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Zip | 20706-2682
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Country | US
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Telephone | 240-604-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 9318 GEATON PARK PL
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City | LANHAM
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State | MD
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Zip | 20706-2682
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Country | US
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Telephone | 240-604-2502
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Fax |
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Authorized Official
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Title or Position | CRANIAL PROSTHESIS
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Name | CHARECE NDUKUBA
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Credential |
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Telephone | 240-604-2502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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