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General NPI Number Information
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NPI Number | 1750155859
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Entity Type | Organization
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Legal Business Name | SIMPLYCALM, LLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 2133 E 2ND ST APT 5208
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City | EDMOND
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State | OK
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Zip | 73034-1809
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Country | US
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Telephone | 888-789-2256
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Fax |
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Provider Business Mailing Address
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Address Line | 2133 E 2ND ST APT 5208
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City | EDMOND
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State | OK
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Zip | 73034-1809
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Country | US
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Telephone | 888-789-2256
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Fax | 888-404-1909
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | STEVEN K ELROD
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Credential | MSN, PMHNP-BC
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Telephone | 405-609-0987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health 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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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