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General NPI Number Information
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NPI Number | 1972696268
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Entity Type | Individual
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Provider Name | SHERA ANN SIMS D.D.S
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Gender | Female
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 304 LOCUST ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-1382
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Country | US
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Telephone | 816-380-2222
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Fax | 816-380-2969
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Provider Business Mailing Address
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Address Line | 26419 S SOUTH LAKE DR
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City | HARRISONVILLE
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State | MO
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Zip | 64701-1674
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Country | US
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Telephone | 816-380-2221
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2002012231
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License Number State | MO
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