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General NPI Number Information
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NPI Number | 1083623136
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Entity Type | Individual
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Provider Name | STEPHEN MICHAEL SIMS MD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 133 MEDICAL PARK LN STE B
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4979
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Country | US
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Telephone | 936-730-8833
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Fax | 936-730-8866
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Provider Business Mailing Address
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Address Line | PO BOX 621004
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City | DALLAS
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State | TX
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Zip | 75262-1004
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Country | US
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Telephone | 936-756-3464
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Fax | 936-703-5191
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | J7288
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License Number State | TX
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