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General NPI Number Information
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NPI Number | 1154976025
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Entity Type | Organization
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Legal Business Name | STEPHEN M. SIMS, MD, PA
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 17189 I 45 S STE 265
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City | SHENANDOAH
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State | TX
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Zip | 77385-3323
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Country | US
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Telephone | 936-647-1469
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Fax | 936-242-1274
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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 | 936-267-2987
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN MICHAEL SIMS
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Credential | MD
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Telephone | 936-756-3464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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