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General NPI Number Information
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NPI Number | 1033625413
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Entity Type | Organization
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Legal Business Name | SIMPLIFIED HEALTH
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 900 MACK AVE
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City | ORLANDO
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State | FL
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Zip | 32805-3280
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Country | US
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Telephone | 407-425-6578
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Fax |
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Provider Business Mailing Address
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Address Line | 900 MACK AVE
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City | ORLANDO
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State | FL
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Zip | 32805
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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 | DR. RONALD L FULMORE II
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Credential | DC
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Telephone | 321-948-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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