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General NPI Number Information
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NPI Number | 1679175988
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Entity Type | Organization
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Legal Business Name | SIMPLY HEALTH INTEGRATED MEDICAL LLC
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 12977 N 40 DR STE 105
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8654
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Country | US
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Telephone | 630-590-4686
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Fax | 636-206-8361
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Provider Business Mailing Address
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Address Line | 126 HILLTOWN VILLAGE CTR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-0709
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Country | US
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Telephone | 630-590-4686
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Fax | 888-859-4926
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Authorized Official
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Title or Position | OWNER
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Name | BRYAN DELONEY
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Credential |
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Telephone | 636-590-4686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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