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General NPI Number Information
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NPI Number | 1669659140
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Entity Type | Organization
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Legal Business Name | SIMPLY T&T INCORPORATED
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Dates
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Enumeration Date | 01/27/2008
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1701 GATEWAY BLVD STE 460
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City | RICHARDSON
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State | TX
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Zip | 75080-3694
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Country | US
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Telephone | 972-234-5646
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Fax | 972-234-5665
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Provider Business Mailing Address
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Address Line | 528 E MAIN ST
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City | RICHARDSON
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State | TX
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Zip | 75081-3423
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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 | ADMINISTRASTOR
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Name | MOBOLAJI ADENIKE IKUJENYO
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Credential |
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Telephone | 972-234-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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