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General NPI Number Information
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NPI Number | 1871902858
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Entity Type | Organization
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Legal Business Name | RACHEL SIM MD PA
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 6309 PRESTON RD STE 1400
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 469-443-0719
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Fax | 469-443-0569
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Provider Business Mailing Address
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Address Line | 6309 PRESTON RD STE 1400
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City | PLANO
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State | TX
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Zip | 75024-2740
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Country | US
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Telephone | 469-443-0719
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Fax | 469-443-0569
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEESUN RACHEL SIM
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Credential | M.D.
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Telephone | 617-838-1089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N6026
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License Number State | TX
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