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General NPI Number Information
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NPI Number | 1285957068
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Entity Type | Individual
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Provider Name | ISABEL C SIMPSON D.M.D
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Gender | Female
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 725 N CENTRAL AVE STE 109
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City | AVONDALE
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State | AZ
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Zip | 85323-1658
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Country | US
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Telephone | 623-925-1399
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Fax | 623-882-8083
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Provider Business Mailing Address
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Address Line | 1220 E SAN REMO AVE
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City | GILBERT
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State | AZ
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Zip | 85234-3606
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D7942
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License Number State | AZ
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