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General NPI Number Information
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NPI Number | 1982240693
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Entity Type | Organization
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Legal Business Name | EXTENSIONS & FLOW SALON
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 3100 CLEARY AVE STE 2
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City | METAIRIE
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State | LA
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Zip | 70002-5749
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Country | US
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Telephone | 504-635-9860
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 CLEARY AVE STE 2
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City | METAIRIE
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State | LA
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Zip | 70002-5749
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Country | US
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Telephone | 504-635-9860
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Fax |
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Authorized Official
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Title or Position | LICENSED COSMETOLOGIST/CMF
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Name | TRISCHEL DAVIS
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Credential |
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Telephone | 504-635-9860
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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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