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General NPI Number Information
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NPI Number | 1124905831
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Entity Type | Individual
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Provider Name | NAKIA SIMS LMT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 6210 PEMBROKE WAY
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-4031
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Country | US
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Telephone | 470-816-7881
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Fax |
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Provider Business Mailing Address
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Address Line | 108 CRESCENT WOODE DR
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City | DALLAS
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State | GA
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Zip | 30157-5725
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Country | US
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Telephone | 470-816-7881
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | E030738
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT014963
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License Number State | GA
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