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General NPI Number Information
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NPI Number | 1508278557
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Entity Type | Individual
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Provider Name | GORDON SIMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 260 W SUNRISE HWY
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1011
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Country | US
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Telephone | 516-825-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 917-547-9752
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101264417
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 308557
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License Number State | NY
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