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General NPI Number Information
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NPI Number | 1568189926
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Entity Type | Organization
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Legal Business Name | SIMMONS HOME SERVICES LLC
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 656 W 4TH ST
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City | WINONA
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State | MN
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Zip | 55987-5133
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Country | US
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Telephone | 507-313-8948
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Fax |
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Provider Business Mailing Address
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Address Line | 656 W 4TH ST
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City | WINONA
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State | MN
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Zip | 55987-5133
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Country | US
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Telephone | 507-313-8948
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JENNIFER MARIE SIMMONS
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Credential |
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Telephone | 507-313-8948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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