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General NPI Number Information
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NPI Number | 1528084571
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Entity Type | Individual
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Provider Name | TOBY L SIMON MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 900 BROKEN SOUND PKWY STE 400
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City | BOCA RATON
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State | FL
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Zip | 33487-3513
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Country | US
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Telephone | 561-859-9315
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Fax | 610-290-9104
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Provider Business Mailing Address
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Address Line | 900 BROKEN SOUND PKWY STE 400
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City | BOCA RATON
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State | FL
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Zip | 33487-3513
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Country | US
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Telephone | 561-859-9315
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Fax | 610-290-9104
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | ME97808
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License Number State | FL
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