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NPI 1619494416

NPI 1619494416 : ROBIN ELAINE SIMPSON RN : EUREKA, IL

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General NPI Number Information
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    NPI Number           |    1619494416
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN ELAINE SIMPSON RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/23/2017
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    Last Update Date     |    06/16/2018
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Provider Practice Location Address
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    Address Line         |    120 N MAIN ST 
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    City                 |    EUREKA
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    State                |    IL
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    Zip                  |    61530-1182
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    Country              |    US
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    Telephone            |    309-467-5254
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    Fax                  |    309-467-5303
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Provider Business Mailing Address
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    Address Line         |    120 N MAIN ST 
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    City                 |    EUREKA
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    State                |    IL
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    Zip                  |    61530-1182
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    Country              |    US
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    Telephone            |    309-467-5254
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    Fax                  |    309-467-5303
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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        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    3001272
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    4000488
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    3001272
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    License Number State |    IL
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Taxonomy #4
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    Taxonomy Code        |    376K00000X
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    Taxonomy Name        |    Nurse's Aide
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    License Number       |    4000488
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    License Number State |    IL
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Taxonomy #5
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    Taxonomy Code        |    163WC0400X
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    Taxonomy Name        |    Case Management Registered Nurse
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    License Number       |    4000488
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    License Number State |    IL
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Taxonomy #6
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    Taxonomy Code        |    163WC1500X
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    Taxonomy Name        |    Community Health Registered Nurse
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    License Number       |    4000488
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    License Number State |    IL
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Taxonomy #7
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    Taxonomy Code        |    163WH0200X
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    Taxonomy Name        |    Home Health Registered Nurse
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    License Number       |    4000488
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    License Number State |    IL
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Taxonomy #8
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    Taxonomy Code        |    163WI0500X
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    Taxonomy Name        |    Infusion Therapy Registered Nurse
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    License Number       |    4000488
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    License Number State |    IL
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Taxonomy #9
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    Taxonomy Code        |    163WW0000X
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    Taxonomy Name        |    Wound Care Registered Nurse
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    License Number       |    4000488
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    License Number State |    IL
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Taxonomy #10
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    Taxonomy Code        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    4000488
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    License Number State |    IL
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