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General NPI Number Information
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NPI Number | 1730868936
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Entity Type | Individual
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Provider Name | JOYCE SIM
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Gender | Female
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 525 N WOLFE ST
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City | BALTIMORE
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State | MD
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Zip | 21205-2110
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Country | US
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Telephone | 410-955-4766
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Fax |
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Provider Business Mailing Address
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Address Line | 465 FOURTH AVE UNIT 3
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City | CHULA VISTA
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State | CA
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Zip | 91910-4474
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95099596
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License Number State | CA
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