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General NPI Number Information
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NPI Number | 1346102373
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Entity Type | Individual
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Provider Name | STACIE DENISE SIMS
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Gender | Female
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 145 HERON BAY RD
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City | JACKSONVILLE
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State | FL
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Zip | 32218-3595
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Country | US
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Telephone | 904-470-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 711 RED CEDAR CT
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City | ORANGE PARK
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State | FL
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Zip | 32073-1659
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW22038
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License Number State | FL
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