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General NPI Number Information
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NPI Number | 1881234094
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Entity Type | Organization
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Legal Business Name | SIMPLICETY
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 423 WARDS CORNER RD STE B
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City | LOVELAND
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State | OH
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Zip | 45140-8341
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Country | US
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Telephone | 859-414-6487
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Fax |
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Provider Business Mailing Address
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Address Line | 116 E 36TH ST
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City | COVINGTON
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State | KY
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Zip | 41015-1402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/TECHNICIAN
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Name | PETER JAMES WIGGINTON
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Credential |
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Telephone | 858-414-6487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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