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General NPI Number Information
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NPI Number | 1679304885
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Entity Type | Individual
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Provider Name | CHRISTOPHER R SIMMINS
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Gender | Male
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 18598 ELK RIVER TRL
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City | FARMINGTON
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State | MN
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Zip | 55024-8640
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Country | US
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Telephone | 651-333-0653
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 CUSHING CIR APT 208
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City | SAINT PAUL
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State | MN
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Zip | 55108-5016
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Country | US
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Telephone | 865-801-2283
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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