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General NPI Number Information
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NPI Number | 1063679991
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Entity Type | Organization
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Legal Business Name | DRS. SIMPSON & GUEST, PLLC.
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 400 ALLEN DR SUITE 200
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City | CHARLESTON
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State | WV
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Zip | 25302-3947
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Country | US
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Telephone | 304-342-4717
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Fax | 304-342-4737
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Provider Business Mailing Address
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Address Line | 400 ALLEN DR SUITE 200
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City | CHARLESTON
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State | WV
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Zip | 25302-3947
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Country | US
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Telephone | 304-342-4717
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Fax | 304-342-4737
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN NEWTON SIMPSON
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Credential | DDS
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Telephone | 304-342-4717
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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 | 2512
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License Number State | WV
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