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General NPI Number Information
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NPI Number | 1174543961
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Entity Type | Individual
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Provider Name | CUTHBERT O. SIMPKINS II MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 7950 W JEFFERSON BLVD
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City | FORT WAYNE
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State | IN
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Zip | 46804-4140
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Country | US
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Telephone | 260-432-2297
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Fax | 260-434-6481
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Provider Business Mailing Address
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Address Line | 6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: BARB COPELAND
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City | FORT WAYNE
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State | IN
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Zip | 46804-7934
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Country | US
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Telephone | 260-479-3514
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Fax | 260-479-3520
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | LT-3282
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 01074693A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 15507R
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License Number State | LA
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