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General NPI Number Information
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NPI Number | 1497013197
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Entity Type | Individual
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Provider Name | JESS WILLIAM SIMPSON LPC
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Gender | Male
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 809 ELMHURST BLVD
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City | SALINA
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State | KS
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Zip | 67401-7405
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Country | US
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Telephone | 785-823-6322
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Fax |
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Provider Business Mailing Address
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Address Line | 104 W ELLSWORTH AVE
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City | SALINA
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State | KS
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Zip | 67401-6114
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Country | US
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Telephone | 785-787-9355
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2297
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License Number State | KS
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