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NPI Code Detail

MEDICARE: CARLA VIRGINIA SIMPSON

MEDICARE: CARLA VIRGINIA SIMPSON
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1457869182
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA VIRGINIA SIMPSON
Provider Business Mailing Address
First Line : 116 N HIGH ST
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-9158
Country : US
Telephone Number : 937-444-6127
Fax Number : 937-444-6192
Provider Business Practice Location Address
First Line : 116 N HIGH ST
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-9158
Country : US
Telephone Number : 937-444-6127
Fax Number : 937-444-6192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2018
Last Update Date : 01/16/2018

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Directions to “ CARLA VIRGINIA SIMPSON ” Practice Location

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