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General NPI Number Information
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NPI Number | 1154003689
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Entity Type | Organization
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Legal Business Name | SIMPLIFED MEDICAL, P.C.
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 314 E STATE ST
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City | ITHACA
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State | NY
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Zip | 14850-4318
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Country | US
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Telephone | 888-458-1364
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Fax |
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Provider Business Mailing Address
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Address Line | 314 E STATE ST
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City | ITHACA
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State | NY
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Zip | 14850-4318
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Country | US
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Telephone | 888-458-1364
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANDREA IPPOLITO
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Credential |
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Telephone | 339-234-0164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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