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General NPI Number Information
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NPI Number | 1740454578
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Entity Type | Organization
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Legal Business Name | SIMIO HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 8516 HOMESTEAD DR STE 107
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City | ZEELAND
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State | MI
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Zip | 49464-9226
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Country | US
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Telephone | 616-741-9555
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Fax | 616-741-9559
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Provider Business Mailing Address
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Address Line | 8516 HOMESTEAD DR STE 107
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City | ZEELAND
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State | MI
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Zip | 49464-9226
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Country | US
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Telephone | 616-741-9555
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Fax | 616-741-9559
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Authorized Official
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Title or Position | OWNER
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Name | MR. CRAIG EDWARD STASIO
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Credential | MSPT
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Telephone | 616-741-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5501012065
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License Number State | MI
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