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General NPI Number Information
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NPI Number | 1518761469
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Entity Type | Individual
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Provider Name | RONDA SIMPSON
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 2309 CALHOUN CT
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City | ANTIOCH
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State | CA
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Zip | 94509-5703
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Country | US
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Telephone | 925-726-5030
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Fax |
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Provider Business Mailing Address
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Address Line | 5516 CEDAR POINT WAY
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City | ANTIOCH
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State | CA
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Zip | 94531-8597
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Country | US
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Telephone | 925-726-5030
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Fax | 833-968-2370
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 79201379
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License Number State | CA
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