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General NPI Number Information
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NPI Number | 1598982449
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Entity Type | Individual
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Provider Name | JAMES E SIMPSON D.M.D
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 1001 E MAIN ST #3 PROFESSIONAL PARK
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City | CARBONDALE
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State | IL
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Zip | 62901-3100
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Country | US
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Telephone | 618-457-2522
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Fax | 618-457-2577
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Provider Business Mailing Address
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Address Line | 1001 E MAIN STREET #THREE PROFESSIONAL PARK EAST
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City | CARBONDALE
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State | IL
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Zip | 62901-3100
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Country | US
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Telephone | 618-457-2522
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Fax | 618-457-2577
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019-018834
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License Number State | IL
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