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General NPI Number Information
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NPI Number | 1033597026
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Entity Type | Organization
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Legal Business Name | SIMPLIFIED HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 301 MCCULLOUGH DR SUITE 400
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City | CHARLOTTE
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State | NC
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Zip | 28262-3310
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Country | US
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Telephone | 980-216-6876
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Fax | 133-623-2153
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Provider Business Mailing Address
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Address Line | 6521 SOAPSTONE DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-7341
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA KNOTTS
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Credential |
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Telephone | 980-216-6876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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