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NPI Code Detail

MEDICARE: LEANN RAE SIMPSON-TAROKH DO

MEDICARE: LEANN RAE SIMPSON-TAROKH DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician246312NY
2207Q00000XFamily Medicine Physician2015-02200NC

General Provider Information

NPI Number : 1285660753
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANN RAE SIMPSON-TAROKH DO
Provider Business Mailing Address
First Line : SANFORD HEALTH AND REHABILITATION
Second Line : 2702 FARRELL RD
City : SANFORD
State : NC
Zip : 27330
Country : US
Telephone Number : 919-776-9602
Fax Number :
Provider Business Practice Location Address
First Line : 2702 FARRELL RD
Second Line :
City : SANFORD
State : NC
Zip : 27330-6505
Country : US
Telephone Number : 919-776-9602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 12/11/2020

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