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General NPI Number Information
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NPI Number | 1629950100
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Entity Type | Individual
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Provider Name | GABRIELLE NICHOLE SIMMS ATC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 23 CALVIN MURPHY DR
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City | NORWALK
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State | CT
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Zip | 06851-5500
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Country | US
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Telephone | 203-838-4481
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Fax |
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Provider Business Mailing Address
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Address Line | 413 W ANDERSON AVE
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4304
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Country | US
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Telephone | 215-588-2226
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1957
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License Number State | CT
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