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General NPI Number Information
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NPI Number | 1942001425
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Entity Type | Organization
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Legal Business Name | REBECCA SIMS OD PA
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 420 W PLATT ST
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City | TAMPA
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State | FL
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Zip | 33606-2244
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Country | US
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Telephone | 813-303-9041
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 S CLARK AVE
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City | TAMPA
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State | FL
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Zip | 33629-8519
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Country | US
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Telephone | 727-423-1709
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REBECCA SIMS
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Credential | OD
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Telephone | 727-423-1709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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