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General NPI Number Information
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NPI Number | 1013271089
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Entity Type | Individual
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Provider Name | ERICA ROSHELL SIMPSON D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 506 SE 291 HWY UNIT I
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City | LEES SUMMIT
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State | MO
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Zip | 64063-4388
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Country | US
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Telephone | 816-694-7623
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 SW 13TH ST
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-5412
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Country | US
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Telephone | 816-694-7623
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2011041270
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License Number State | MO
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