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NPI Code Detail

MEDICARE: SIMONE BOTTS

MEDICARE: SIMONE BOTTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1427856376
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONE BOTTS
Provider Business Mailing Address
First Line : 64 H ST SW APT 742
Second Line :
City : WASHINGTON
State : DC
Zip : 20024-0409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3900 RESERVOIR RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-2126
Country : US
Telephone Number : 202-687-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 03/06/2025

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Directions to “ SIMONE BOTTS ” Practice Location

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