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General NPI Number Information
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NPI Number | 1043722838
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Entity Type | Individual
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Provider Name | CASSANDRA VIRGINIA SIMPSON RN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 210 S PARSONS AVE STE 9
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City | BRANDON
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State | FL
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Zip | 33511-5256
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Country | US
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Telephone | 813-707-0400
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Fax | 813-322-2362
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Provider Business Mailing Address
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Address Line | PO BOX 963
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City | VALRICO
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State | FL
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Zip | 33595-0963
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Country | US
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Telephone | 813-810-6844
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Fax | 813-322-2362
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RN9425054
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN9425054
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | RN9425054
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | RN9425054
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9425054
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License Number State | FL
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