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General NPI Number Information
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NPI Number | 1396952420
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Entity Type | Organization
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Legal Business Name | DAVID B SIMMONS MD PA
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | DAVID B SIMMONS MD PA 320 1ST STREET, N
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City | WINTER HAVEN
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State | FL
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Zip | 33881
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Country | US
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Telephone | 863-299-5300
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Fax | 863-299-5322
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Provider Business Mailing Address
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Address Line | DAVID B SIMMONS MD PA 320 1ST STREET, N
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City | WINTER HAVEN
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State | FL
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Zip | 33881
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Country | US
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Telephone | 863-299-5300
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Fax | 863-299-5322
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Authorized Official
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Title or Position | OWNER
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Name | DAVID B SIMMONS
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Credential | M.D.
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Telephone | 863-299-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME60962
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License Number State | FL
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