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General NPI Number Information
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NPI Number | 1083890255
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Entity Type | Organization
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Legal Business Name | CAROLYN E. SIMMONS MD PC
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 890 MILL ST #200
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City | RENO
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State | NV
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Zip | 89502-1442
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Country | US
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Telephone | 775-329-2444
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Fax | 775-329-2440
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Provider Business Mailing Address
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Address Line | 890 MILL ST #200
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City | RENO
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State | NV
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Zip | 89502-1442
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Country | US
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Telephone | 775-329-2444
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Fax | 775-329-2440
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROLYN ELIZABETH SIMMONS
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Credential | MD
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Telephone | 775-329-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9151
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License Number State | NV
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