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General NPI Number Information
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NPI Number | 1316144934
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Entity Type | Individual
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Provider Name | TROY A SIMPSON
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Gender | Male
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 3449 HARRIS FARMS WAY
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City | AUSTELL
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State | GA
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Zip | 30106-8023
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Country | US
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Telephone | 678-398-0200
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Fax | 866-391-4798
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Provider Business Mailing Address
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Address Line | 3449 HARRIS FARMS WAY
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City | AUSTELL
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State | GA
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Zip | 30106-8023
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Country | US
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Telephone | 678-398-0200
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Fax | 866-391-4798
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | 2009#121500
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License Number State | GA
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