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General NPI Number Information
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NPI Number | 1548403876
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Entity Type | Individual
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Provider Name | BRENDA S SIMPSON FNP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 411 N MCCROSKEY ST
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City | NIXA
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State | MO
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Zip | 65714-9330
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Country | US
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Telephone | 417-269-2227
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Fax | 417-269-2235
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Provider Business Mailing Address
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Address Line | PO BOX 4046
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City | SPRINGFIELD
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State | MO
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Zip | 65808-4046
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Country | US
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Telephone | 417-269-5712
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 116667
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License Number State | MO
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