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General NPI Number Information
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NPI Number | 1174189534
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Entity Type | Individual
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Provider Name | SYNOVIA J SIMONS-SMITH RDN
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Gender | Female
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Dates
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Enumeration Date | 05/11/2019
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 10810 BOYETTE RD UNIT 1402
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City | RIVERVIEW
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State | FL
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Zip | 33569-8000
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Country | US
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Telephone | 252-267-6580
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1402
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City | RIVERVIEW
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State | FL
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Zip | 33568-1402
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Country | US
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Telephone | 813-847-9705
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND9208
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD008045
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT92671
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164022535
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | MI
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