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An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI Number | 1073126132 |
| LBN Legal business name | COASTAL HAIR LOSS CENTER |
| Authorized official | DENISHA WILLIAMS - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/28/2020 |
| Last updated | 08/30/2020 - About 6 years ago |
| Identifiers | n/a |
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COASTAL HAIR LOSS CENTER
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COASTAL HAIR LOSS CENTER