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General NPI Number Information
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NPI Number | 1457942401
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Entity Type | Organization
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Legal Business Name | SIMPLE HEALTHKIT INC
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 46421 LANDING PKWY
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City | FREMONT
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State | CA
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Zip | 94538-6496
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Country | US
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Telephone | 213-446-2190
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT LA 22622
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City | PASADENA
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State | CA
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Zip | 91185-2622
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Country | US
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Telephone | 213-446-2190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHEENA MENEZES
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Credential |
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Telephone | 213-446-2190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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