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General NPI Number Information
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NPI Number | 1396884920
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Entity Type | Organization
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Legal Business Name | SCOTT SIMKOWSKI, D.C., S.C.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 12414 W NATIONAL AVE
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City | NEW BERLIN
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State | WI
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Zip | 53151-4054
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Country | US
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Telephone | 262-785-1344
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Fax | 262-785-1359
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Provider Business Mailing Address
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Address Line | 12414 W NATIONAL AVE
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City | NEW BERLIN
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State | WI
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Zip | 53151-4054
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Country | US
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Telephone | 262-785-1344
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Fax | 262-785-1359
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Authorized Official
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Title or Position | CFO
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Name | JOHN P CORSI
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Credential | DC
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Telephone | 414-354-5377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2348-012
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License Number State | WI
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