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General NPI Number Information
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NPI Number | 1235001306
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Entity Type | Organization
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Legal Business Name | SIMPLE CONSULT, LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 8 THE GRN STE B
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City | DOVER
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State | DE
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Zip | 19901-3618
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Country | US
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Telephone | 407-536-9751
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Fax | 424-484-2667
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Provider Business Mailing Address
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Address Line | 8 THE GRN STE B
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City | DOVER
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State | DE
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Zip | 19901-3618
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Country | US
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Telephone | 407-536-9751
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Fax | 424-484-2667
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Authorized Official
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Title or Position | CEO
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Name | MR. BENJAMIN JOSEPH DOMINGO
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Credential | FNP-C
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Telephone | 315-254-6634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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