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General NPI Number Information
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NPI Number | 1649551730
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Entity Type | Individual
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Provider Name | JENNIFER SIMS M.A.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 6060 GRAHAM HILL RD
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City | FELTON
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State | CA
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Zip | 95018-9764
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Country | US
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Telephone | 831-252-3252
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Fax |
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Provider Business Mailing Address
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Address Line | 81 S 19TH ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-1852
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Country | US
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Telephone | 412-596-0822
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC005976
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2584
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License Number State | CA
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