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General NPI Number Information
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NPI Number | 1295933414
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Entity Type | Individual
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Provider Name | JONATHAN HAMM SIMPSON DDS
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Gender | Male
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 321 E 3RD ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4032
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Country | US
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Telephone | 308-534-1332
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Fax | 308-534-1446
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Provider Business Mailing Address
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Address Line | 321 E 3RD ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4032
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Country | US
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Telephone | 308-534-1332
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Fax | 308-534-1446
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 6646
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License Number State | NE
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