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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 # | 1679300909 |
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| LBN Legal business name | SOUTHCOAST HAIR OPTIONS | ||||
| Authorized official | AJCHARIYA NARDELLA - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/19/2024 | ||||
| Last updated | 09/19/2024 - More than a year ago | ||||
| Identifiers |
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SOUTHCOAST HAIR OPTIONS