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General NPI Number Information
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NPI Number | 1427627751
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Entity Type | Organization
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Legal Business Name | HEAD2TOE NURSING INC
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 905 MAIN ST STE 211
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-6066
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Country | US
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Telephone | 877-822-4323
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Fax | 877-244-2835
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Provider Business Mailing Address
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Address Line | 905 MAIN ST STE 211
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-6066
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Country | US
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Telephone | 778-224-3238
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Fax | 877-244-2815
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Authorized Official
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Title or Position | CEO OWNER
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Name | FIJI SIMMONS
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Credential | NP
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Telephone | 323-455-7247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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