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General NPI Number Information
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NPI Number | 1689621732
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Entity Type | Organization
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Legal Business Name | DR. CAROL A SIMS AND ASSOCIATES, LLC.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 21500 QUICK FOX LN
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City | LAYTONSVILLE
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State | MD
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Zip | 20882-1340
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Country | US
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Telephone | 240-888-2239
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Fax | 301-296-4451
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Provider Business Mailing Address
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Address Line | 21500 QUICK FOX LN
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City | LAYTONSVILLE
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State | MD
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Zip | 20882-1340
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Country | US
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Telephone | 240-888-2239
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Fax | 301-296-4451
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | DR. JEFFREY M SINGER
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Credential | PH.D.
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Telephone | 240-888-2239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 01959
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License Number State | MD
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