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General NPI Number Information
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NPI Number | 1568453264
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Entity Type | Individual
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Provider Name | STEPHEN JUSTIN SIMS MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 525 SOUTH DR STE 107
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4211
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Country | US
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Telephone | 650-386-0386
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Fax | 650-386-0468
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Provider Business Mailing Address
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Address Line | 525 SOUTH DR STE 107
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4211
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Country | US
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Telephone | 650-386-0386
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Fax | 650-386-0468
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G69269
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License Number State | CA
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