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General NPI Number Information
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NPI Number | 1780474924
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Entity Type | Individual
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Provider Name | MRS. LATASHA SIMS
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Gender | Female
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 115 SAINT CLAIR AVE SE STE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4344
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Country | US
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Telephone | 256-519-3650
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Fax |
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Provider Business Mailing Address
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Address Line | 231 CHERRY LAUREL DR
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City | HAZEL GREEN
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State | AL
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Zip | 35750-4301
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Country | US
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Telephone | 334-322-2621
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-151246
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License Number State | AL
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