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General NPI Number Information
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NPI Number | 1447528575
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Entity Type | Individual
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Provider Name | KARL SIMON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2011
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 2027 LAWRENCEVILLE SUWANEE RD STE 700
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City | SUWANEE
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State | GA
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Zip | 30024-2658
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Country | US
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Telephone | 678-878-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 INDEPENDENCE AVE
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City | KANSAS CITY
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State | MO
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Zip | 64123-2027
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Country | US
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Telephone | 816-231-0730
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH029665
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License Number State | GA
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