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NPI 1407179542

NPI 1407179542 : ELIZABETH SIMS DPT : KINGSTON, MA

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General NPI Number Information
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    NPI Number           |    1407179542
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH SIMS DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/03/2010
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    Last Update Date     |    05/28/2025
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Provider Practice Location Address
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    Address Line         |    186 SUMMER ST 
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    City                 |    KINGSTON
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    State                |    MA
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    Zip                  |    02364-1282
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    Country              |    US
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    Telephone            |    781-585-8588
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    Fax                  |    781-585-1279
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Provider Business Mailing Address
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    Address Line         |    4 RICHMOND SQ STE 200 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02906-5117
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    Country              |    US
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    Telephone            |    401-433-4172
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    Fax                  |    401-433-0612
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    18961
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    License Number State |    MA
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