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General NPI Number Information
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NPI Number | 1538720818
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Entity Type | Organization
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Legal Business Name | SCOTT A. SIMPSON DDS PLLC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 14231 N 7TH ST STE A14231N7
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City | PHOENIX
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State | AZ
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Zip | 85022-4360
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Country | US
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Telephone | 602-943-4220
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Fax |
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Provider Business Mailing Address
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Address Line | 14231 N 7TH ST STE A14231N7
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City | PHOENIX
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State | AZ
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Zip | 85022-4360
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Country | US
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Telephone | 602-943-4220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT SIMPSON
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Credential | DDS
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Telephone | 602-943-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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