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General NPI Number Information
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NPI Number | 1366009078
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Entity Type | Individual
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Provider Name | ALEXANDRA JEAN SIMS
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Gender | Female
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 104 W 40TH ST RM 500
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City | NEW YORK
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State | NY
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Zip | 10018-3770
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Country | US
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Telephone | 844-207-2912
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Fax |
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Provider Business Mailing Address
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Address Line | 332 E 84TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10028-4445
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Country | US
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Telephone | 815-739-6178
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HADS000885
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAD.0000342
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 14000047635
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License Number State | NY
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