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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 | 1114310281 |
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| LBN Legal business name | XQUISITE XTENSIONS | ||||||||
| Authorized official | DANA CANNON - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/12/2015 | ||||||||
| Last updated | 03/12/2015 - About 11 years ago | ||||||||
| Identifiers |
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