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General NPI Number Information
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NPI Number | 1013997428
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Entity Type | Individual
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Provider Name | DANIEL W SIMON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 317 GEORGE ST SUITE 415
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-2008
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Country | US
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Telephone | 917-716-1567
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Fax |
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Provider Business Mailing Address
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Address Line | 63 MAPLE AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5219
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Country | US
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Telephone | 917-716-1567
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA07342200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MAO73422
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 194240
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License Number State | NY
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