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General NPI Number Information
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NPI Number | 1124385836
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Entity Type | Organization
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Legal Business Name | SIMPSON CHIROPRACTIC CENTER, INC
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 700 HAWTHORNE AVE
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City | ATHENS
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State | GA
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Zip | 30606-2510
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Country | US
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Telephone | 706-543-1900
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Fax | 706-543-1904
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Provider Business Mailing Address
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Address Line | 700 HAWTHORNE AVE
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City | ATHENS
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State | GA
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Zip | 30606-2510
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Country | US
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Telephone | 706-543-1900
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Fax | 706-543-1904
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY SIMPSON
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Credential |
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Telephone | 706-543-1900
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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 | CHIRO05101
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License Number State | GA
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