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General NPI Number Information
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NPI Number | 1861676751
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Entity Type | Individual
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Provider Name | JUDY GORDON SIMPSON M.S.,LPC
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Gender | Female
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 23010 HWY 59N
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City | ROBERTSDALE
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State | AL
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Zip | 36567
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Country | US
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Telephone | 251-947-2293
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Fax | 251-947-4058
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Provider Business Mailing Address
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Address Line | 23010 HWY. 59 N P, O. BOX 870
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City | ROBERTSDALE
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State | AL
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Zip | 36567
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Country | US
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Telephone | 251-947-2293
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Fax | 251-947-4058
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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 | 1010
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License Number State | AL
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