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General NPI Number Information
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NPI Number | 1396940599
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Entity Type | Organization
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Legal Business Name | HUGH SIMS MD PSC
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 340 NEW TOWNE DRIVE
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City | BOWLING GREEN
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State | KY
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Zip | 42103
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Country | US
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Telephone | 270-782-7768
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Fax | 270-781-9480
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Provider Business Mailing Address
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Address Line | 340 NEW TOWNE DRIVE
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City | BOWLING GREEN
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State | KY
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Zip | 42103
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Country | US
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Telephone | 270-782-7768
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Fax | 270-781-9480
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUGH M. SIMS III
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Credential | M.D.
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Telephone | 270-782-7768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2955P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 30304
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License Number State | KY
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