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General NPI Number Information
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NPI Number | 1760400055
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Entity Type | Individual
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Provider Name | ANDREW WARREN SIMPSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 211 DUPLIN STREET
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City | KENANSVILLE
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State | NC
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Zip | 28349
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Country | US
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Telephone | 910-275-0105
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Fax | 910-275-0106
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | KENANSVILLE
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State | NC
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Zip | 28349-0278
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Country | US
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Telephone | 910-275-0105
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Fax | 910-275-0106
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2005-00864
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 23728
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License Number State | SC
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