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General NPI Number Information
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NPI Number | 1013355676
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Entity Type | Individual
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Provider Name | RALPH HEMERSON DE SIMILIEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 705 MEMORY LN
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City | WHITEHOUSE
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State | TX
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Zip | 75791-3692
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Country | US
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Telephone | 281-901-0940
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Fax | 877-910-0729
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Provider Business Mailing Address
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Address Line | 740 MIX AVE UNIT 407
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City | HAMDEN
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State | CT
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Zip | 06514-2287
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Country | US
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Telephone | 281-901-0940
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Fax | 877-910-0729
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | S3965
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License Number State | TX
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