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General NPI Number Information
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NPI Number | 1811362130
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Entity Type | Individual
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Provider Name | DANIELLE M. SIMONS CNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 329 E OLYMPIA AVE
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City | PUNTA GORDA
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State | FL
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Zip | 33950-3833
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Country | US
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Telephone | 866-400-3376
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Fax | 239-561-3020
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Provider Business Mailing Address
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Address Line | 151 SOUTHHALL LN STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7172
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Country | US
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Telephone | 866-400-3376
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Fax | 407-650-3455
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041354622
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209013834
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9483958
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License Number State | FL
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