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General NPI Number Information
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NPI Number | 1265388557
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Entity Type | Organization
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Legal Business Name | SIMPLICITY HEALTHCARE DIAGNOSTICS & LABS
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 6741 CHURCH STREET #2
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City | RIVERDALE
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State | GA
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Zip | 30274
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Country | US
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Telephone | 678-814-9040
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Fax | 770-216-1574
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Provider Business Mailing Address
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Address Line | P.O. BOX 92357
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City | ATLANTA
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State | GA
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Zip | 30314
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Country | US
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Telephone | 678-814-9040
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Fax | 770-216-1574
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Authorized Official
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Title or Position | DIRECTOR
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Name | VALERIE RACHEL
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Credential |
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Telephone | 678-814-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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