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General NPI Number Information
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NPI Number | 1184932311
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Entity Type | Organization
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Legal Business Name | MICHAEL G SIMPSON DDS MS PLLC
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 13920 W CAMINO DEL SOL STE 8
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4438
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Country | US
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Telephone | 623-544-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 13920 W CAMINO DEL SOL STE 8
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MICHAEL G SIMPSON
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Credential | D.D.S.
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Telephone | 623-544-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 30.022834
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | D 8060
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License Number State | AZ
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