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General NPI Number Information
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NPI Number | 1992723183
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Entity Type | Individual
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Provider Name | OLIVER P. SIMMONS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 1790 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33145-2418
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Country | US
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Telephone | 305-330-2434
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Fax |
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Provider Business Mailing Address
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Address Line | 1790 SW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33145-2418
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Country | US
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Telephone | 305-330-2434
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Fax | 305-330-2434
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME138195
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | ME138195
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME138195
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License Number State | SC
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