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General NPI Number Information
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NPI Number | 1104942853
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Entity Type | Organization
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Legal Business Name | JOSEPH L SIMMONS INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3534 KUTZTOWN ROAD
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City | LAURELDALE
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State | PA
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Zip | 19605-1853
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Country | US
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Telephone | 610-921-1636
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Fax | 610-921-1637
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Provider Business Mailing Address
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Address Line | 3534 KUTZTOWN ROAD
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City | LAURELDALE
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State | PA
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Zip | 19605-1853
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Country | US
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Telephone | 610-921-1636
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Fax | 610-921-1637
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Authorized Official
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Title or Position | PRESIDENT DISPENSER
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Name | MR. JOHN DAVID SIMMONS
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Credential | STATE LICENSE F2067
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Telephone | 610-921-1636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | D00101
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License Number State | PA
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