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General NPI Number Information
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NPI Number | 1235305558
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Entity Type | Organization
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Legal Business Name | NEIL H. SIMMONS, O.D., P.A.
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 110 N VAN BUREN ST
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City | CARTHAGE
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State | MS
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Zip | 39051-4126
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Country | US
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Telephone | 601-267-7777
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Fax | 601-267-7774
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Provider Business Mailing Address
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Address Line | 110 N VAN BUREN ST
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City | CARTHAGE
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State | MS
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Zip | 39051-4126
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Country | US
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Telephone | 601-267-7777
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Fax | 601-267-7774
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEIL H. SIMMONS
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Credential | O.D.
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Telephone | 601-267-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 563
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License Number State | MS
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