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General NPI Number Information
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NPI Number | 1154820462
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Entity Type | Individual
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Provider Name | TIA M SIMPKIN LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1905 N MITCHELL ST
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City | CADILLAC
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State | MI
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Zip | 49601-1139
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Country | US
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Telephone | 231-775-4401
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Fax |
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Provider Business Mailing Address
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Address Line | 41521 W 11 MILE RD # NOV
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City | NOVI
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State | MI
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Zip | 48375-1803
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Country | US
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Telephone | 248-299-0030
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801117556
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License Number State | MI
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