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General NPI Number Information
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NPI Number | 1447553185
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Entity Type | Organization
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Legal Business Name | LEE T SIMON MD INC
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 2222 OAK ST
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City | SALEM
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State | OH
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Zip | 44460-2520
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Country | US
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Telephone | 330-337-8739
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 OAK ST
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City | SALEM
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State | OH
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Zip | 44460-2520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEE SIMON
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Credential |
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Telephone | 330-337-8739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 043640
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License Number State | OH
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