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General NPI Number Information
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NPI Number | 1467053769
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Entity Type | Organization
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Legal Business Name | SIMPLISTIC SOLUTIONS
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 800 N FRONT ST
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City | WATERLOO
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State | NE
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Zip | 68069-2249
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Country | US
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Telephone | 402-669-3197
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Fax |
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Provider Business Mailing Address
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Address Line | 21765 PACIFIC ST
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City | ELKHORN
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State | NE
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Zip | 68022-1914
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Country | US
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Telephone | 402-669-3197
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Fax |
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Authorized Official
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Title or Position | DYSLEXIA PRACTITIONER; OWNER
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Name | KATHERINE JOHNSON
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Credential |
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Telephone | 402-669-3197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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