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General NPI Number Information
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NPI Number | 1417830225
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Entity Type | Organization
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Legal Business Name | SIMPLY MEDICAL GROUP LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 36 CORPORATE OFFICE PARK PR 20 SUITE 301
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City | SAN JUAN
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-523-5767
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 195615
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City | SAN JUAN
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State | PR
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Zip | 00919-5615
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Country | US
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Telephone | 787-523-5767
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | NARDY DELGADO
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Credential |
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Telephone | 787-523-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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