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General NPI Number Information
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NPI Number | 1770618449
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Entity Type | Individual
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Provider Name | SIMONE A. NAKFOOR OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1101 CINDY DR
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City | LANSING
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State | MI
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Zip | 48917-9239
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Country | US
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Telephone | 480-227-0853
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Fax |
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Provider Business Mailing Address
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Address Line | 12200 BROADBENT RD
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City | LANSING
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State | MI
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Zip | 48917-9706
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Country | US
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Telephone | 517-731-6200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 1797
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 1797
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 5201013759
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1797
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License Number State | AZ
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