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General NPI Number Information
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NPI Number | 1447553144
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Entity Type | Organization
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Legal Business Name | SIMPLISTIC MEDICAL, LLC
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Dates
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Enumeration Date | 12/19/2010
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 3916 CARLISLE BLVD NE STE G
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City | ALBUQUERQUE
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State | NM
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Zip | 87107
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Country | US
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Telephone | 505-856-5998
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Fax | 505-212-0099
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Provider Business Mailing Address
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Address Line | 3916 CARLISLE BLVD NE STE G
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-4500
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Country | US
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Telephone | 505-856-5998
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Fax | 505-212-0099
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY D MILLS
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Credential |
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Telephone | 505-856-5998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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