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General NPI Number Information
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NPI Number | 1992618722
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Entity Type | Organization
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Legal Business Name | CROWNE MEDICAL HAIR SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 1101 HILLCREST PKWY STE L PMB 1022
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-800-3524
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Fax | 478-202-9544
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Provider Business Mailing Address
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Address Line | 1101 HILLCREST PKWY STE L
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City | DUBLIN
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State | GA
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Zip | 31021-3581
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Country | US
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Telephone | 478-800-3524
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Fax | 478-202-9544
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANETRA DANYELLE HART
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Credential |
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Telephone | 478-955-9348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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