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General NPI Number Information
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NPI Number | 1245254978
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Entity Type | Individual
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Provider Name | BERNICE SIMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 6 BIRCHWOOD CT UNIT 1-O
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City | MINEOLA
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State | NY
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Zip | 11501-4529
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Country | US
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Telephone | 516-782-9099
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Fax | 516-481-7524
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Provider Business Mailing Address
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Address Line | 6 BIRCHWOOD CT UNIT# 1-O
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City | MINEOLA
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State | NY
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Zip | 11501-4529
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Country | US
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Telephone | 516-782-9099
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Fax | 516-481-7524
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6613
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1990C
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C5673
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0278261
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License Number State | NY
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