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General NPI Number Information
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NPI Number | 1417258989
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Entity Type | Organization
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Legal Business Name | J.V. SIMMERING M.D. INC.
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 1300 MCGEE DR SUITE 101
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City | NORMAN
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State | OK
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Zip | 73072-5774
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Country | US
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Telephone | 405-329-4454
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Fax | 405-329-6997
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Provider Business Mailing Address
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Address Line | 1300 MCGEE DR SUITE 101
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City | NORMAN
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State | OK
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Zip | 73072-5774
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Country | US
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Telephone | 405-329-4454
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Fax | 405-329-6997
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JAMES VIRGIL SIMMERING
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Credential | M.D.
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Telephone | 405-329-4454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 6819
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License Number State | OK
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