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General NPI Number Information
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NPI Number | 1487093522
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Entity Type | Organization
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Legal Business Name | SIMMONS LMFT, LLC
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 9053 S PECOS RD SUITE 2910
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City | HENDERSON
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State | NV
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Zip | 89074-7178
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Country | US
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Telephone | 702-260-6203
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Fax | 702-260-6000
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Provider Business Mailing Address
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Address Line | 9053 S PECOS RD SUITE 2910
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City | HENDERSON
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State | NV
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Zip | 89074-7178
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Country | US
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Telephone | 702-260-6203
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Fax | 702-260-6000
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Authorized Official
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Title or Position | MANAGER
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Name | LAURA A SIMMONS
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Credential | LMFT
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Telephone | 702-260-6203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0911
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License Number State | NV
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