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General NPI Number Information
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NPI Number | 1649201120
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Entity Type | Organization
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Legal Business Name | SHAUGHN T. SMS D.C., P. C.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1501 COLUMBIA ST STE B
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City | STAMFORD
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State | TX
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Zip | 79553-6882
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Country | US
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Telephone | 325-773-2193
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Fax | 325-773-2194
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Provider Business Mailing Address
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Address Line | 1501 COLUMBIA ST STE B
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City | STAMFORD
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State | TX
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Zip | 79553-6882
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Country | US
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Telephone | 325-773-2193
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Fax | 325-773-2194
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAUGHN THOMAS SIMS
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Credential | D.C.
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Telephone | 325-773-2193
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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 | 8180
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License Number State | TX
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