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General NPI Number Information
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NPI Number | 1700973351
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Entity Type | Individual
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Provider Name | JAMES M SIMMERING MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 6812 STATE ROUTE 162 SUITE 120
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City | MARYVILLE
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State | IL
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Zip | 62062-8553
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Country | US
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Telephone | 618-288-1122
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Fax | 618-288-1144
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Provider Business Mailing Address
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Address Line | 6854 PARKER RD
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City | FLORISSANT
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State | MO
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Zip | 63033-5313
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Country | US
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Telephone | 314-286-6988
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Fax | 314-868-2561
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036067473
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License Number State | IL
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