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General NPI Number Information
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NPI Number | 1821755836
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Entity Type | Organization
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Legal Business Name | SIMEDHEALTH, LLC
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 4343 W NEWBERRY ROAD STE 18 ADMINISTRATION
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City | GAINESVILLE
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State | FL
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Zip | 32607
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Country | US
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Telephone | 352-224-2200
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Fax | 352-224-2484
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Provider Business Mailing Address
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Address Line | 4343 W NEWBERRY ROAD STE 18 ADMINISTRATION
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City | GAINESVILLE
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State | FL
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Zip | 32607
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Country | US
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Telephone | 352-224-2200
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Fax | 352-224-2484
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Authorized Official
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Title or Position | CHIEF EXECTIVE OFFICER
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Name | DR. DANIEL M. DUNCANSON
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Credential | MD
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Telephone | 352-224-2302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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