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General NPI Number Information
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NPI Number | 1215136460
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Entity Type | Organization
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Legal Business Name | RICHARD SIMMAN MD LLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 4000 MIAMISBURG CENTERVILLE RD STE 104
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City | MIAMISBURG
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State | OH
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Zip | 45342-3674
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Country | US
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Telephone | 937-384-0780
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Fax | 937-384-0781
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Provider Business Mailing Address
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Address Line | PO BOX 181257
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City | FAIRFIELD
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State | OH
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Zip | 45018-1257
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Country | US
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Telephone | 937-384-0780
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Fax | 937-384-0781
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD SIMMAN
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Credential | M.D.
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Telephone | 937-384-0780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1706540
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License Number State | OH
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