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General NPI Number Information
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NPI Number | 1740615020
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Entity Type | Individual
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Provider Name | INDIA SIMMS LCMFT
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 09/21/2019
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Provider Practice Location Address
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Address Line | 4552 HIDDEN STREAM CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4837
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Country | US
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Telephone | 443-798-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 9722 GROFFS MILL DR STE 748
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City | OWINGS MILLS
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State | MD
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Zip | 21117-6341
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Country | US
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Telephone | 216-798-7388
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 46-3534610
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License Number State | MD
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