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General NPI Number Information
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NPI Number | 1770768582
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Entity Type | Individual
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Provider Name | SONIA E SIMMONDS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 1601 PARK CENTER DR SUITE 1& 2
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City | ORLANDO
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State | FL
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Zip | 32835-5700
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Country | US
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Telephone | 321-521-4658
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Fax | 321-251-5725
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Provider Business Mailing Address
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Address Line | 1601 PARK CENTER DR SUITE 1& 2
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City | ORLANDO
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State | FL
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Zip | 32835-5700
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Country | US
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Telephone | 321-521-4658
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Fax | 321-251-5725
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN17701
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License Number State | FL
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