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NPI 1831380955

NPI 1831380955 : DARNELL SIMPSON DC : THAYNE, WY

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General NPI Number Information
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    NPI Number           |    1831380955
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    Entity Type          |    Individual 
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    Provider Name        |    DARNELL SIMPSON DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/05/2007
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    Last Update Date     |    10/30/2024
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Provider Practice Location Address
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    Address Line         |    118 S. MAIN ST. SUITE #400
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    City                 |    THAYNE
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    State                |    WY
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    Zip                  |    83127-1179
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    Country              |    US
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    Telephone            |    307-883-7246
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    Fax                  |    307-883-7247
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1179 118 S. MAIN ST. STE. 400
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    City                 |    THAYNE
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    State                |    WY
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    Zip                  |    83127-1179
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    Country              |    US
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    Telephone            |    307-883-7246
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    Fax                  |    307-883-7247
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    673
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    License Number State |    WY
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