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General NPI Number Information
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NPI Number | 1659698371
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Entity Type | Organization
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Legal Business Name | NANCY SIMONS LING MD PA
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 305 BRYAN RD SUITE 5 & 6
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City | BRANDON
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State | FL
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Zip | 33511-5340
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Country | US
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Telephone | 813-689-2054
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Fax | 813-654-5640
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Provider Business Mailing Address
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Address Line | 305 BRYAN RD SUITE 5 & 6
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City | BRANDON
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State | FL
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Zip | 33511-5340
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Country | US
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Telephone | 813-689-2054
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Fax | 813-654-5640
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. DIANNA L BRICK
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Credential |
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Telephone | 813-689-2054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME0046345
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License Number State | FL
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