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General NPI Number Information
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NPI Number | 1932309275
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Entity Type | Individual
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Provider Name | DAVID REGAN SIMEK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 10901 QUAKER AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-8315
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Country | US
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Telephone | 806-300-8000
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Fax | 806-794-9947
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Provider Business Mailing Address
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Address Line | 10901 QUAKER AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-8315
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Country | US
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Telephone | 806-300-8000
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Fax | 806-794-9947
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5853
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License Number State | OK
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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 | 22725
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License Number State | TX
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