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General NPI Number Information
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NPI Number | 1871921098
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Entity Type | Organization
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Legal Business Name | SIBYL K. SIMON, M.D., P.L.
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Dates
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Enumeration Date | 10/25/2013
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Last Update Date | 10/25/2013
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Provider Practice Location Address
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Address Line | 9600 W SAMPLE RD SUITE 506
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4045
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Country | US
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Telephone | 954-800-7836
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Fax | 950-800-7837
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Provider Business Mailing Address
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Address Line | 9600 W SAMPLE RD SUITE 506
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4045
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Country | US
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Telephone | 954-800-7836
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Fax | 950-800-7837
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Authorized Official
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Title or Position | OWNER
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Name | DR. SIBYL SIMON
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Credential | MD
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Telephone | 954-800-7836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | ME108534
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME108534
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License Number State | FL
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