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General NPI Number Information
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NPI Number | 1124156781
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Entity Type | Individual
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Provider Name | ALAN F SIMCICH R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 228 U.S. HWY ONE
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City | LAKE PARK
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State | FL
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Zip | 33403
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Country | US
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Telephone | 561-844-1191
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Fax | 564-842-1588
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Provider Business Mailing Address
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Address Line | 2076 ASCOTT RD
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-2102
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Country | US
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Telephone | 561-626-1972
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Fax | 561-842-1588
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS16135
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License Number State | FL
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