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General NPI Number Information
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NPI Number | 1699603266
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Entity Type | Organization
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Legal Business Name | ASCENOVA BIO, LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 6650 RIVERS AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 864-412-6557
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST STE N
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 864-412-6557
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | SAMUEL JOEL SIMMONS
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Credential |
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Telephone | 864-412-6557
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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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