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General NPI Number Information
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NPI Number | 1952360943
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Entity Type | Organization
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Legal Business Name | STEPHEN C SIMS DDS PC
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 1725 CIMARRON TRL SUITE 1
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City | HURST
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State | TX
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Zip | 76054-3439
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Country | US
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Telephone | 817-280-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 CIMARRON TRL SUITE 1
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City | HURST
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State | TX
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Zip | 76054-3439
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Country | US
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Telephone | 817-280-9300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN C SIMS
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Credential | DDS
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Telephone | 817-280-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12069
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License Number State | TX
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