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General NPI Number Information
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NPI Number | 1922689389
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Entity Type | Individual
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Provider Name | DEBORAH LOUISE SIMMERS
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Gender | Female
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Dates
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Enumeration Date | 04/17/2021
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 125 COOL SPRINGS BLVD STE 140
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City | FRANKLIN
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State | TN
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Zip | 37067-6475
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Country | US
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Telephone | 615-771-1111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 153
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City | OXFORD
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State | NC
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Zip | 27565-0153
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Country | US
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Telephone |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12866
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12312
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License Number State | NC
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