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General NPI Number Information
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NPI Number | 1487870036
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Entity Type | Organization
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Legal Business Name | SIMAN DENTAL CORP
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 03/11/2016
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Provider Practice Location Address
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Address Line | 1111 S 4TH ST
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City | EL CENTRO
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State | CA
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Zip | 92243-4741
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Country | US
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Telephone | 760-336-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 SOUTH 4TH STREET
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City | EL CENTRO
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State | CA
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Zip | 92243
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Country | US
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Telephone | 760-336-2600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDDIE SIMAN
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Credential | DDS
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Telephone | 760-336-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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