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General NPI Number Information
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NPI Number | 1598137218
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Entity Type | Organization
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Legal Business Name | SIMPLEX HEALTH
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 300 BROOKSIDE AVE STE 125
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City | AMBLER
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State | PA
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Zip | 19002-3436
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Country | US
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Telephone | 484-416-4243
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Fax |
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Provider Business Mailing Address
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Address Line | 300 BROOKSIDE AVE STE 125
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City | AMBLER
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State | PA
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Zip | 19002-3436
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Country | US
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Telephone | 877-842-2425
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Fax |
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Authorized Official
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Title or Position | CHIEF OF STAFF
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Name | ALEXANDRA JATZKE
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Credential |
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Telephone | 856-443-3995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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