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General NPI Number Information
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NPI Number | 1831301704
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Entity Type | Individual
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Provider Name | MARY ELIZABETH SIMMERS MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 701 GORDON AVE
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City | RICHMOND
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State | VA
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Zip | 23224-7019
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Country | US
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Telephone | 804-549-5506
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Fax | 804-549-5526
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Provider Business Mailing Address
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Address Line | 856 J CLYDE MORRIS BLVD SUITE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1318
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Country | US
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Telephone |
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0101247598
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License Number State | VA
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