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General NPI Number Information
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NPI Number | 1043989585
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Entity Type | Individual
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Provider Name | QUENTIN DOUG SIMS III DPT
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Gender | Male
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 2530 PROFESSIONAL PKWY
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City | SANTA MARIA
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State | CA
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Zip | 93455-8200
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Country | US
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Telephone | 805-928-4465
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Fax | 805-928-7935
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Provider Business Mailing Address
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Address Line | PO BOX 6450
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City | SANTA MARIA
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State | CA
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Zip | 93456-6450
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Country | US
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Telephone | 805-928-4465
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Fax | 805-928-7935
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 300964
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License Number State | CA
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