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General NPI Number Information
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NPI Number | 1306340815
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Entity Type | Individual
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Provider Name | JENNIFER SIM MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1244 FORT WASHINGTON AVE STE E1
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-1743
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Country | US
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Telephone | 215-643-2730
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Fax | 215-643-6677
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Provider Business Mailing Address
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Address Line | 1244 FORT WASHINGTON AVE STE E1
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-1743
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Country | US
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Telephone | 215-643-2730
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Fax | 215-643-6677
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D94298
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD486192
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License Number State | PA
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