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General NPI Number Information
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NPI Number | 1801766472
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Entity Type | Individual
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Provider Name | CLARA EVA SIMPSON
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 10309 SANTA MONICA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90025-5007
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Country | US
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Telephone | 310-553-5984
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Fax |
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Provider Business Mailing Address
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Address Line | 18615 PRAIRIE ST
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3134
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Country | US
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Telephone | 707-241-5249
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State | CA
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