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General NPI Number Information
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NPI Number | 1558281626
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Entity Type | Organization
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Legal Business Name | RLS LEGACY
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 661 CHANDLER ST
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City | DETROIT
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State | MI
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Zip | 48202-2858
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Country | US
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Telephone | 313-889-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 661 CHANDLER ST
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City | DETROIT
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State | MI
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Zip | 48202-2858
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMEBER
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Name | MS. SHARNICA SIMPSON
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Credential | NP
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Telephone | 313-828-0415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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