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General NPI Number Information
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NPI Number | 1205503570
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Entity Type | Individual
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Provider Name | JUSTIN SIMPKINS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 1 PARK ST
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City | NEW HAVEN
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State | CT
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Zip | 06504-8901
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Country | US
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Telephone | 304-601-9311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6465
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City | HAMDEN
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State | CT
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Zip | 06517-0465
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Country | US
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Telephone | 304-601-9311
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PTP.0000578
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License Number State | CT
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