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General NPI Number Information
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NPI Number | 1144746009
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Entity Type | Organization
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Legal Business Name | INSECT IQ
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5002 W LINEBAUGH AVE STE F
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City | TAMPA
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State | FL
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Zip | 33624-5030
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Country | US
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Telephone | 813-930-2847
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Fax | 813-452-5756
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Provider Business Mailing Address
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Address Line | 5002 W LINEBAUGH AVE STE F
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City | TAMPA
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State | FL
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Zip | 33624-5030
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Country | US
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Telephone | 813-930-2847
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Fax | 813-452-5756
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Authorized Official
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Title or Position | ENTOMOLOGIST
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Name | MR. JONATHAN BRITTON SIMKINS
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Credential | B.S. AGRICULTURE/ENT
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Telephone | 813-930-2847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | JB131270
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License Number State | FL
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