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General NPI Number Information
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NPI Number | 1902169337
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Entity Type | Organization
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Legal Business Name | SIMS CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 5600 RIVERTECH CT SUITE G
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City | RIVERDALE
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State | MD
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Zip | 20737-1354
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Country | US
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Telephone | 301-853-7467
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Fax | 301-853-7040
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Provider Business Mailing Address
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Address Line | 5600 RIVERTECH CT SUITE G
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City | RIVERDALE
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State | MD
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Zip | 20737-1354
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Country | US
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Telephone | 301-853-7467
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Fax | 301-853-7040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS LEE SIMS JR.
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Credential | D.C.
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Telephone | 301-853-7467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | S02836
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License Number State | MD
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