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General NPI Number Information
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NPI Number | 1285769935
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Entity Type | Individual
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Provider Name | MATTHEW DANIEL SIMPSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 2601 AIRPORT FWY STE 500
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City | FORT WORTH
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State | TX
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Zip | 76111-2379
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Country | US
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Telephone | 817-232-1034
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Fax | 817-847-9685
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Provider Business Mailing Address
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Address Line | 2601 AIRPORT FWY STE 500
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City | FORT WORTH
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State | TX
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Zip | 76111-2379
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Country | US
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Telephone | 817-232-1034
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Fax | 817-847-9685
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10371
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6103
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License Number State | CO
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