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General NPI Number Information
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NPI Number | 1023006582
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Entity Type | Individual
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Provider Name | ALAN D SIMMS CRNA BS
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10010 KENNERLY RD ST ANTHONYS HOSPITAL
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City | ST LOUIS
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State | MO
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Zip | 63128-1659
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Country | US
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Telephone | 314-895-3828
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Fax | 314-985-3827
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Provider Business Mailing Address
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Address Line | 16431 SUNDANCE CREEK CT
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City | WILDWOOD
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State | MO
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Zip | 63005-7021
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Country | US
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Telephone | 636-394-1893
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 035653
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 069345
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License Number State | MO
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