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General NPI Number Information
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NPI Number | 1730216201
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Entity Type | Organization
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Legal Business Name | FRANK G SIMON, PSC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 1404 BROWNS LN STE B
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City | LOUISVILLE
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State | KY
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Zip | 40207-4655
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Country | US
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Telephone | 502-895-5088
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Fax | 502-897-2426
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Provider Business Mailing Address
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Address Line | 1404 BROWNS LN STE B
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City | LOUISVILLE
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State | KY
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Zip | 40207-4655
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Country | US
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Telephone | 502-895-5088
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Fax | 502-897-2426
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARGIE KENDALL
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Credential |
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Telephone | 502-895-5088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 14589
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License Number State | KY
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