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General NPI Number Information
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NPI Number | 1891774063
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Entity Type | Individual
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Provider Name | GWENDOLYN SAMONS SIMPKINS ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 7125 MURRELL RD
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City | VIERA
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State | FL
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Zip | 32940-7999
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Country | US
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Telephone | 321-242-8790
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Fax | 321-751-9362
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Provider Business Mailing Address
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Address Line | 3300 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4306
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Country | US
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Telephone | 321-574-9112
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Fax | 321-951-7408
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3056682
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License Number State | FL
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