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General NPI Number Information
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NPI Number | 1295901908
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Entity Type | Individual
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Provider Name | JESSICA BETH SIMPSON MD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | 1176 5TH AVE BOX 1170
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City | NEW YORK
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State | NY
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Zip | 10029-6503
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Country | US
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Telephone | 212-659-8557
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Fax | 212-369-2385
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Provider Business Mailing Address
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Address Line | 1107 5TH AVE STE. 1
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City | NEW YORK
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State | NY
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Zip | 10128-0145
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Country | US
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Telephone | 917-526-1481
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 248276
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License Number State | NY
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