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General NPI Number Information
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NPI Number | 1205135134
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Entity Type | Organization
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Legal Business Name | SIMPSON DENTAL HYGIENE PRACTICE, INC.
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 23584 WOODHAVEN PL
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City | AUBURN
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State | CA
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Zip | 95602-8168
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Country | US
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Telephone | 530-906-2972
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Fax |
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Provider Business Mailing Address
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Address Line | 23584 WOODHAVEN PL
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City | AUBURN
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State | CA
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Zip | 95602-8168
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Country | US
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Telephone | 530-906-3025
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIAELENA RANGEL SIMPSON
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Credential |
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Telephone | 530-906-3025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 328
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License Number State | CA
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