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General NPI Number Information
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NPI Number | 1063001139
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Entity Type | Individual
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Provider Name | FLORENCE ANDERSON SIMMS LMT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 301 N HIGHWAY 27 UNIT C
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City | CLERMONT
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State | FL
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Zip | 34711-2447
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Country | US
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Telephone | 407-286-9103
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Fax |
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Provider Business Mailing Address
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Address Line | 550 KARMA AVE
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4374
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Country | US
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Telephone | 407-286-9103
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA70854
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License Number State | FL
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