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General NPI Number Information
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NPI Number | 1518226596
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Entity Type | Organization
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Legal Business Name | SIMPLEHEALTH, LLC
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 5600 OAK RD
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City | POLAND
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State | IN
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Zip | 47868-7050
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Country | US
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Telephone | 765-795-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 OAK RD
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City | POLAND
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State | IN
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Zip | 47868-7050
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Country | US
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Telephone | 765-795-2929
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MRS. MARCIA E OLIVER
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Credential | MSPT
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Telephone | 765-795-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 05007635A
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License Number State | IN
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