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General NPI Number Information
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NPI Number | 1407154032
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Entity Type | Individual
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Provider Name | MS. DEBRA JOANNE SIMS
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Gender | Female
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 3741 HIGHWAY 14
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City | MILLBROOK
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State | AL
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Zip | 36054-1905
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Country | US
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Telephone | 334-285-6648
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Fax |
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Provider Business Mailing Address
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Address Line | 1457 GOLD MINE BRANCH RD
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City | MARBURY
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State | AL
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Zip | 36051-3713
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Country | US
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Telephone | 334-569-1059
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10363
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License Number State | AL
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