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General NPI Number Information
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NPI Number | 1174304745
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Entity Type | Organization
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Legal Business Name | SYMPLICITY HEALTHCARE
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 3301 GREEN ST STE 343
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City | CLAYMONT
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State | DE
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Zip | 19703-2052
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Country | US
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Telephone | 302-765-7109
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 GREEN ST STE 343
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City | CLAYMONT
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State | DE
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Zip | 19703-2052
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Country | US
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Telephone | 302-765-7109
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Fax |
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Authorized Official
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Title or Position | CEO/NURSE PRACTITIONER
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Name | CRYSTAL MARIE PERRY
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Credential | CRNP-BC
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Telephone | 302-765-7109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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