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NPI 1396506309

NPI 1396506309 : ROBERT C. SIMPSON PH.D. LMFT LLC : TALLAHASSEE, FL

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General NPI Number Information
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    NPI Number           |    1396506309
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT C. SIMPSON PH.D. LMFT LLC 
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Dates
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    Enumeration Date     |    01/17/2024
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    Last Update Date     |    01/17/2024
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Provider Practice Location Address
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    Address Line         |    2933 KERRY FOREST PKWY 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32309-7808
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    Country              |    US
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    Telephone            |    850-545-2887
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2933 KERRY FOREST PKWY STE A 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32309-7808
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    Country              |    US
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    Telephone            |    850-545-8877
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROBERT C SIMPSON 
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    Credential           |    PH D
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    Telephone            |    850-545-2887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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