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General NPI Number Information
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NPI Number | 1316073091
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Entity Type | Individual
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Provider Name | HEATHER L. SIMON MD
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 1500 CITYWEST BLVD STE 30
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City | HOUSTON
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State | TX
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Zip | 77042-2300
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Country | US
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Telephone | 713-620-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 532 W PITTSBURGH ST
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City | GREENSBURG
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State | PA
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Zip | 15601-2239
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L-224404
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD455804
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | N0047
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License Number State | TX
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