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General NPI Number Information
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NPI Number | 1447468897
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Entity Type | Organization
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Legal Business Name | CHAD SIMMONS, M.D., P.A.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 12890 HILLCREST RD SUITE 203
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City | DALLAS
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State | TX
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Zip | 75230-1504
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Country | US
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Telephone | 972-239-2777
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Fax | 972-239-2778
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Provider Business Mailing Address
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Address Line | 12890 HILLCREST RD SUITE 203
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City | DALLAS
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State | TX
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Zip | 75230-1504
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Country | US
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Telephone | 972-239-2777
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Fax | 972-239-2778
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD CHAD S SIMMONS
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Credential | MD
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Telephone | 972-239-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L8958
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License Number State | TX
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