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General NPI Number Information
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NPI Number | 1982604708
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Entity Type | Individual
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Provider Name | STEVEN CARY SIMON MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 20950 N TATUM BLVD SUITE 308
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City | PHOENIX
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State | AZ
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Zip | 85050-4200
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Country | US
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Telephone | 480-419-2280
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Fax | 480-419-2290
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Provider Business Mailing Address
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Address Line | 202950 N. TATUM BLVD. SUITE 308
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City | PHOENIX
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State | AZ
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Zip | 85050-4255
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Country | US
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Telephone | 480-419-2280
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Fax | 480-419-2290
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 30664
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License Number State | AZ
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