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General NPI Number Information
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NPI Number | 1891908042
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Entity Type | Organization
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Legal Business Name | RUSSELL WM SIMPSON MD PC AND ASSOCIATES
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 4896 CHAMBERS RD
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City | DENVER
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State | CO
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Zip | 80239
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Country | US
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Telephone | 303-371-7263
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Fax | 303-371-3562
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Provider Business Mailing Address
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Address Line | 4896 CHAMBERS RD
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City | DENVER
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State | CO
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Zip | 80239
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Country | US
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Telephone | 303-371-7263
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Fax | 303-371-3562
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KATHY J SIMPSON
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Credential |
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Telephone | 303-371-7263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21847
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License Number State | CO
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