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General NPI Number Information
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NPI Number | 1275922833
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Entity Type | Organization
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Legal Business Name | DR. SIDNEY H. SIMPSON P. A.
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 1142 HIGHWAY 71 S SUITE D
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City | MENA
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State | AR
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Zip | 71953-8078
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Country | US
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Telephone | 479-394-3540
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Fax | 479-394-7531
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Provider Business Mailing Address
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Address Line | 1142 HIGHWAY 71 S SUITE D
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City | MENA
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State | AR
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Zip | 71953-8078
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Country | US
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Telephone | 479-394-3540
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Fax | 479-394-7531
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Authorized Official
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Title or Position | OWNER-PRESIDENT
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Name | DR. SIDNEY HOLLIS SIMPSON
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Credential | D.C.
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Telephone | 479-394-3540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 963
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License Number State | AR
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