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General NPI Number Information
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NPI Number | 1609069962
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Entity Type | Organization
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Legal Business Name | SIMPSON COMMUNITY HEALTHCARE, INC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 1827C SIMPSON HIGHWAY 149
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City | MENDENHALL
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State | MS
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Zip | 39114-3439
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Country | US
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Telephone | 601-847-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 1842 SIMPSON HIGHWAY 149
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City | MENDENHALL
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State | MS
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Zip | 39114-3438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RANDALL O. NEELY
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Credential |
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Telephone | 601-847-7214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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