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General NPI Number Information
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NPI Number | 1730209636
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Entity Type | Individual
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Provider Name | MICHAEL STEVEN SIMONE M.S., L.N., C.N.S.,
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 219 MAIN ST
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City | SALEM
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State | NH
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Zip | 03079-3120
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Country | US
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Telephone | 603-893-6490
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Fax | 603-893-1388
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Provider Business Mailing Address
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Address Line | 219 MAIN ST
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City | SALEM
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State | NH
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Zip | 03079-3120
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Country | US
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Telephone | 603-893-6490
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Fax | 603-893-1388
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1678
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 1678
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License Number State | MA
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