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NPI Code Detail

MEDICARE: ALMA R. SIMMONS RD

MEDICARE: ALMA R. SIMMONS RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian7165OH

General Provider Information

NPI Number : 1972004414
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALMA R. SIMMONS RD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-685-3333
Fax Number :
Provider Business Practice Location Address
First Line : 6700 UNIVERSITY BLVD
Second Line :
City : DUBLIN
State : OH
Zip : 43016-3508
Country : US
Telephone Number : 614-685-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2018
Last Update Date : 03/19/2026

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