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General NPI Number Information
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NPI Number | 1255415071
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Entity Type | Individual
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Provider Name | ROBERT SCOTT SIMMONS D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 215 4TH ST E STE A
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City | TIFTON
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State | GA
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Zip | 31794-4421
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Country | US
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Telephone | 229-388-9339
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Fax | 229-388-9339
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Provider Business Mailing Address
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Address Line | PO BOX 2197
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City | TIFTON
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State | GA
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Zip | 31793-2197
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Country | US
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Telephone | 229-388-9339
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Fax | 229-388-9339
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6732
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIROO6565
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License Number State | GA
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