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General NPI Number Information
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NPI Number | 1811399330
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Entity Type | Individual
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Provider Name | CALVIN SIMS O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 4616 HIGHWAY 280 TARGET OPTICAL/HECKMAN EYE CARE
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5028
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Country | US
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Telephone | 205-408-7687
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Fax |
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Provider Business Mailing Address
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Address Line | 4616 HIGHWAY 280 TARGET OPTICAL/HECKMAN EYE CARE
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5028
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Country | US
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Telephone | 205-408-7687
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-D26-TA-A07
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License Number State | AL
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