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General NPI Number Information
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NPI Number | 1023211935
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Entity Type | Organization
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Legal Business Name | SIMPSON COMMUNITY HEALTHCARE INC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1842 SIMPSON HIGHWAY 149
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City | MENDENHALL
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State | MS
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Zip | 39114-3438
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Country | US
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Telephone | 601-847-7130
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Fax | 601-847-7104
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Provider Business Mailing Address
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Address Line | 1842 SIMPSON HIGHWAY 149
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City | MENDENHALL
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State | MS
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Zip | 39114-3438
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Country | US
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Telephone | 601-847-7130
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Fax | 601-847-7104
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Authorized Official
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Title or Position | CFO
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Name | MRS. AUDREY WEDGEWORTH
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Credential |
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Telephone | 601-847-7130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11216
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License Number State | MS
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