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General NPI Number Information
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NPI Number | 1497888721
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Entity Type | Organization
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Legal Business Name | SIMMONS CHIROPRACTIC AND WELLNESS CENTER, P.C.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 108 STERLING
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City | DAYTON
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State | TX
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Zip | 77535
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Country | US
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Telephone | 936-258-5020
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Fax | 936-257-8565
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Provider Business Mailing Address
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Address Line | 108 STERLING ST
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City | DAYTON
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State | TX
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Zip | 77535-6415
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Country | US
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Telephone | 936-258-5020
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Fax | 936-257-8565
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Authorized Official
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Title or Position | OWNER
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Name | JIMMY ALLEN SIMMONS
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Credential | D.C.
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Telephone | 936-258-5020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8864
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License Number State | TX
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