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General NPI Number Information
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NPI Number | 1598093247
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Entity Type | Organization
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Legal Business Name | WILLIAMS-SIMPKINS INC.
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 1908 E GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73501-6128
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Country | US
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Telephone | 580-351-0207
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Fax | 580-351-0248
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Provider Business Mailing Address
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Address Line | 1908 EAST GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73501
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Country | US
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Telephone | 580-351-0207
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Fax | 580-351-0248
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MS. LYNN SIMPKINS
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Credential |
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Telephone | 580-351-0207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 1603-1603DC
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License Number State | OK
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