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General NPI Number Information
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NPI Number | 1164578837
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Entity Type | Individual
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Provider Name | SHERIDAN SIMS HENRY CNP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW 1984 BUILDING, 2ND FLOOR, PALLIATIVE CARE DEPARTMENT
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-1159
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Fax |
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Provider Business Mailing Address
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Address Line | 275 LAKEMOORE DR NE UNIT A
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City | ATLANTA
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State | GA
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Zip | 30342-3871
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Country | US
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Telephone | 404-605-1159
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN107270
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License Number State | GA
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