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General NPI Number Information
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NPI Number | 1982527636
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Entity Type | Individual
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Provider Name | BRAD SIMMONS
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Gender | Male
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 135 DELMONT AVE
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City | WORCESTER
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State | MA
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Zip | 01604-3203
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Country | US
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Telephone | 508-615-1168
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Fax |
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Provider Business Mailing Address
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Address Line | 135 DELMONT AVE
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City | WORCESTER
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State | MA
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Zip | 01604-3203
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 6318
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License Number State | MA
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