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General NPI Number Information
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NPI Number | 1053388744
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Entity Type | Individual
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Provider Name | KELLEY K SIMPSON PA C
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Gender | Female
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 175 LANCASTER BLVD
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City | MECHANICBURG
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State | PA
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Zip | 17055
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Country | US
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Telephone | 717-691-3755
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Fax | 717-691-3834
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Provider Business Mailing Address
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Address Line | 1776 WOODSTEAD CT STE 208
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1480
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Country | US
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Telephone | 877-749-7428
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA052283
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License Number State | PA
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