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General NPI Number Information
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NPI Number | 1750912671
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Entity Type | Organization
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Legal Business Name | DARREN D SIMPSON DDS LTD
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 196 W ILLINOIS HWY
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City | NEW LENOX
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State | IL
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Zip | 60451-5501
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Country | US
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Telephone | 708-369-4076
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Fax |
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Provider Business Mailing Address
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Address Line | 6426 N NORTHWEST HWY
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City | CHICAGO
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State | IL
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Zip | 60631-1450
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Country | US
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Telephone | 708-369-4076
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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. DARREN DWAIN SIMPSON
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Credential | DDS
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Telephone | 708-369-4076
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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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