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General NPI Number Information
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NPI Number | 1235300674
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Entity Type | Organization
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Legal Business Name | SIMPLY THICK, LLC
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1812 WALTON RD
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City | OVERLAND
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State | MO
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Zip | 63114-5820
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Country | US
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Telephone | 888-721-2023
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Fax | 800-508-2990
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Provider Business Mailing Address
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Address Line | 1812 WALTON RD
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City | OVERLAND
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State | MO
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Zip | 63114-5820
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Country | US
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Telephone | 888-721-2023
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Fax | 800-508-2990
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN L. HOLAHAN
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Credential |
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Telephone | 888-721-2023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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