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General NPI Number Information
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NPI Number | 1053843607
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Entity Type | Individual
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Provider Name | MRS. KENDRA P SIMPSOM
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Gender | Female
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 5717 LITTLE ELM LN
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-2364
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Country | US
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Telephone | 501-256-9070
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Fax |
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Provider Business Mailing Address
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Address Line | 5717 LITTLE ELM LN
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-2364
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Country | US
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Telephone | 501-256-9070
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 12362
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License Number State | AR
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