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General NPI Number Information
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NPI Number | 1184809774
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Entity Type | Organization
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Legal Business Name | SIMPLICITY CARE, INC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 6701 SIMPSON RD
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City | CHARLOTTE
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State | NC
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Zip | 28216-5897
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Country | US
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Telephone | 704-394-7006
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Fax | 704-394-7892
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Provider Business Mailing Address
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Address Line | 6701 SIMPSON RD
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City | CHARLOTTE
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State | NC
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Zip | 28216-5897
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Country | US
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Telephone | 704-394-7006
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Fax | 704-394-7892
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. SHARKEETA S STEVENSON
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Credential |
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Telephone | 704-394-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MHL0601029
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License Number State | NC
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