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General NPI Number Information
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NPI Number | 1336113133
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Entity Type | Individual
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Provider Name | JAMES WILLIAM SIMON MD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 500 THOMAS LANE SUITE 3C COLUMBUS UROLOGY INC
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City | COLUMBUS
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State | OH
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Zip | 43214-1419
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Country | US
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Telephone | 614-538-2222
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Fax | 614-538-2233
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Provider Business Mailing Address
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Address Line | PO BOX 634172 COLUMBUS UROLOGY INC
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City | CINCINNATI
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State | OH
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Zip | 45263-4172
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Country | US
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Telephone | 614-818-3576
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Fax | 614-818-0217
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35 04 5354S
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License Number State | OH
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