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General NPI Number Information
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NPI Number | 1104504844
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Entity Type | Organization
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Legal Business Name | HALEY M SIMS PSYD PC
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 311 W SUPERIOR ST STE 315
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City | CHICAGO
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State | IL
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Zip | 60654-3593
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Country | US
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Telephone | 812-340-4219
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Fax |
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Provider Business Mailing Address
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Address Line | 1 E DELAWARE PL APT 12G
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City | CHICAGO
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State | IL
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Zip | 60611-4970
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Country | US
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Telephone | 812-340-4219
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HALEY SIMS
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Credential | LCP
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Telephone | 812-340-4219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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