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General NPI Number Information
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NPI Number | 1467206540
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Entity Type | Individual
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Provider Name | SHARON SIMMONS
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Gender | Female
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 409 MAIN ST
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City | SMITHFIELD
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State | VA
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Zip | 23430-1328
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Country | US
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Telephone | 757-542-3732
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Fax | 757-542-3011
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Provider Business Mailing Address
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Address Line | 4032 RAVINE GAP DR
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City | SUFFOLK
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State | VA
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Zip | 23434-3050
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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 |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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