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General NPI Number Information
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NPI Number | 1215493457
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Entity Type | Organization
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Legal Business Name | SIMPLICITY CARE OF SOUTH FLORIDA LLC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 10100 W SAMPLE RD FL 3
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3975
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Country | US
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Telephone | 954-642-3193
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Fax | 954-857-2235
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Provider Business Mailing Address
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Address Line | 10100 W SAMPLE ROAD THIRD FLOOR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065
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Country | US
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Telephone | 954-642-3193
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Fax | 954-857-2235
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. LATOYA MONIQUE STEVENSON
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Credential |
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Telephone | 954-864-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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