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General NPI Number Information
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NPI Number | 1639538093
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Entity Type | Individual
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Provider Name | JAMES SIMPSON
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Gender | Male
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 30 EAST BROAD STREET, FLOOR 11
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City | COLUMBUS
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State | OH
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Zip | 45113
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Country | US
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Telephone | 614-466-2596
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Fax |
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Provider Business Mailing Address
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Address Line | 1585 PYLE RD
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City | CLARKSVILLE
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State | OH
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Zip | 45113-9353
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Country | US
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Telephone | 937-725-9142
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 913008
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License Number State | OH
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