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General NPI Number Information
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NPI Number | 1376929356
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Entity Type | Organization
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Legal Business Name | SIMZ INC
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 117 BARCELONA DR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1314
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Country | US
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Telephone | 561-793-6242
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Fax | 561-793-6242
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Provider Business Mailing Address
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Address Line | 117 BARCELONA DR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1314
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Country | US
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Telephone | 561-793-6242
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Fax | 561-793-6242
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Authorized Official
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Title or Position | OWNER
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Name | MR. LAURISTON GEORGE SIMMS
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Credential |
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Telephone | 561-719-0263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11780
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License Number State | FL
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