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General NPI Number Information
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NPI Number | 1245790278
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Entity Type | Individual
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Provider Name | SARAH J SIMS PMHNP- BC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 246 E JANATA BLVD STE 245
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City | LOMBARD
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State | IL
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Zip | 60148-5382
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Country | US
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Telephone | 708-312-0588
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Fax | 708-312-0588
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Provider Business Mailing Address
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Address Line | 1155 W MADISON ST APT 406
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City | CHICAGO
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State | IL
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Zip | 60607-2857
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Country | US
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Telephone | 773-892-4065
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277.002069
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209019500
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 041348381
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License Number State | IL
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