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General NPI Number Information
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NPI Number | 1376556522
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Entity Type | Organization
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Legal Business Name | SIM USA, INCORPORATED
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 14830 CHOATE CIRCLE
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City | CHARLOTTE
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State | NC
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Zip | 28273
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Country | US
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Telephone | 704-587-1415
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Fax | 704-587-1554
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Provider Business Mailing Address
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Address Line | PO BOX 7900
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City | CHARLOTTE
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State | NC
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Zip | 28241-7900
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Country | US
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Telephone | 704-587-1415
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Fax | 704-587-1554
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. HAROLD PAGAN HOPE JR.
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Credential | MD
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Telephone | 704-587-1415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | NC19168
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License Number State | NC
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