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General NPI Number Information
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NPI Number | 1487305124
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Entity Type | Individual
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Provider Name | HUNTER NOEL SIMPSON
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Gender | Female
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 2235 CANDIES LN NW
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City | CLEVELAND
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State | TN
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Zip | 37312-2620
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Country | US
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Telephone | 423-478-8071
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Fax |
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Provider Business Mailing Address
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Address Line | 288 OLD ATHENS RD
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City | MADISONVILLE
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State | TN
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Zip | 37354-6160
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Country | US
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Telephone | 423-295-5958
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0000007069
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License Number State | TN
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