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General NPI Number Information
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NPI Number | 1003806035
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Entity Type | Individual
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Provider Name | ALEXANDRA MONICA SIMPSON DDS
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 160 E 32ND ST SUITE 103
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City | NEW YORK
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State | NY
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Zip | 10016-6004
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Country | US
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Telephone | 212-683-3328
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Fax | 212-683-0021
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Provider Business Mailing Address
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Address Line | 5006 245TH ST
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City | DOUGLASTON
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State | NY
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Zip | 11362-1627
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Country | US
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Telephone | 718-225-0853
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 51362
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License Number State | NY
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