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General NPI Number Information
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NPI Number | 1013645431
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Entity Type | Individual
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Provider Name | ALICIA R SIMMONS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 534 HILLCREST DR
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City | BRANDENBURG
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State | KY
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Zip | 40108-1296
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Country | US
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Telephone | 270-422-5000
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Fax | 270-422-5052
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Provider Business Mailing Address
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Address Line | 3683 N COUNTY ROAD 650 E
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City | ORLEANS
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State | IN
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Zip | 47452-9653
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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 |
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 28158742A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4044040
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License Number State | KY
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