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NPI 1528161957

NPI 1528161957 : ROBERT JAMES SIMS JR. DDS : SOUTH MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1528161957
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT JAMES SIMS JR. DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/07/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    7600 SW 57 AVENUE SUITE 116
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    City                 |    SOUTH MIAMI
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    State                |    FL
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    Zip                  |    33143-5421
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    Country              |    US
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    Telephone            |    305-667-7543
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    Fax                  |    305-661-2547
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Provider Business Mailing Address
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    Address Line         |    7600 SW 57 AVENUE SUITE 116
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    City                 |    SOUTH MIAMI
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    State                |    FL
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    Zip                  |    33143-5421
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    Country              |    US
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    Telephone            |    305-667-7543
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    Fax                  |    305-661-2547
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DN6147
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    License Number State |    FL
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