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General NPI Number Information
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NPI Number | 1841088234
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Entity Type | Organization
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Legal Business Name | J SIMPSON LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 2484 BRIARCLIFF RD NE STE 29
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City | ATLANTA
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State | GA
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Zip | 30329-3011
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Country | US
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Telephone | 404-232-7411
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Fax |
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Provider Business Mailing Address
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Address Line | 4296 ENCORE PARK LN
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City | DULUTH
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State | GA
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Zip | 30097-6516
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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 | DENTIST
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Name | JORDAN SIMPSON
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Credential | DMD
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Telephone | 404-232-7411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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