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General NPI Number Information
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NPI Number | 1841288867
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Entity Type | Individual
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Provider Name | LEONARD SIMON MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 3501 JOHNSON ST FL 3
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5421
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Country | US
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Telephone | 954-265-9976
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Fax | 954-965-5396
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Provider Business Mailing Address
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Address Line | 8950 SW 57TH AVE
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City | PINECREST
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State | FL
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Zip | 33156-2133
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Country | US
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Telephone | 305-322-4116
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Fax | 305-666-2252
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME 0071163
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License Number State | FL
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