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General NPI Number Information
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NPI Number | 1154287779
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Entity Type | Individual
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Provider Name | ALLISON NICHOLE SIMMONS
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 3550 E FRANK PHILLIPS BLVD
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2411
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Country | US
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Telephone | 918-338-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 303 W MAIN ST
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City | TYRO
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State | KS
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Zip | 67364-4825
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 226644
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License Number State | OK
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