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General NPI Number Information
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NPI Number | 1720486947
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Entity Type | Individual
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Provider Name | JALESIA SIMS
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Gender | Female
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 2100 WEST LOOP S SUITE 1525
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City | HOUSTON
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State | TX
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Zip | 77027-3515
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Country | US
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Telephone | 713-965-9998
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 REDSTONE CENTER DR SUITE 200
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City | PARK CITY
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State | UT
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Zip | 84098-7605
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3456
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 116452
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT005675
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License Number State | GA
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