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Contact Information

PURE GOLD LUXZ HAIR BEAUTY LUXURY
508 OWEN DR
FAYETTEVILLE, NC28304-3417
 Phone: 910-479-6214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for PURE GOLD LUXZ HAIR BEAUTY LUXURY

NPI # 1306400759
LBN Legal business name PURE GOLD LUXZ HAIR BEAUTY LUXURY
Authorized official FATIA RUSSELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2019
Last updated 08/31/2019 - About 7 years ago
Identifiers
NC Medicaid 1356843379
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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