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General NPI Number Information
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NPI Number | 1760563613
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Entity Type | Individual
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Provider Name | ALAN A SIMEONE MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 2525 DESALES AVE STE F1009
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1161
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Country | US
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Telephone | 423-697-2000
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Fax | 423-697-2118
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Provider Business Mailing Address
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Address Line | 2501 CITICO AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1127
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Country | US
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Telephone | 423-697-2000
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Fax | 423-697-2118
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD00047735
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | MD00047735
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 35 126676
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD00047735
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 56485
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 59222
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License Number State | TN
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