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General NPI Number Information
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NPI Number | 1164445565
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Entity Type | Organization
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Legal Business Name | SIMS PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 01/29/2015
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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 | 93455-1602
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Country | US
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Telephone | 805-928-4465
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Fax |
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Provider Business Mailing 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 | 93455-1602
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Country | US
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Telephone | 805-928-4465
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. QUENTIN DOUGLAS SIMS
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Credential | P.T.
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Telephone | 805-928-4465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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