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General NPI Number Information
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NPI Number | 1093145401
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Entity Type | Organization
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Legal Business Name | WILLIAM H. SIMON, M.D.
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Dates
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Enumeration Date | 11/21/2013
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 2940 LINCOLN AVE SUITE201
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City | OCEANSIDE
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State | NY
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Zip | 11572-2195
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Country | US
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Telephone | 516-766-6808
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Fax | 516-766-5218
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Provider Business Mailing Address
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Address Line | 2940 LINCOLN AVE SUITE201
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City | OCEANSIDE
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State | NY
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Zip | 11572-2195
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Country | US
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Telephone | 516-766-6808
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Fax | 516-766-5218
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KAREN P RAIMONDI
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Credential |
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Telephone | 516-766-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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