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General NPI Number Information
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NPI Number | 1285173120
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Entity Type | Individual
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Provider Name | MICHELE SIMS LMT
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Gender | Female
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 07/13/2019
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Provider Practice Location Address
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Address Line | 168 COURT ST STE 4
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City | PLYMOUTH
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State | MA
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Zip | 02360-4036
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Country | US
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Telephone | 978-808-3696
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CHAPEL HILL DR APT #3
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City | PLYMOUTH
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State | MA
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Zip | 02360-6025
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Country | US
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Telephone | 978-808-3696
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 10105
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 14375
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13714
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License Number State | MA
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