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Organization
PRECISION SCALP HAIR LLC
Active
Organization
PRECISION SCALP HAIR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVON RUSH (OWNER)
(612) 461-9724
Entity
Organization
Contact information
Practice address
6040 EARLE BROWN DR STE 104, BROOKLYN CENTER, MN 55430-2523
(612) 461-4703
Mailing address
6040 EARLE BROWN DR STE 104, BROOKLYN CENTER, MN 55430-2523
(612) 461-9724
(612) 416-1646
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
02/04/2026
Last updated
02/05/2026
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