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General NPI Number Information
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NPI Number | 1902094238
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Entity Type | Organization
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Legal Business Name | BECKY SIMPSON, MD, PC
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 1029 NICHOLS RD STE A
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City | OSAGE BEACH
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State | MO
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Zip | 65065-3008
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Country | US
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Telephone | 573-302-1604
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Fax | 573-302-1610
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Provider Business Mailing Address
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Address Line | 1029 NICHOLS RD STE A
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City | OSAGE BEACH
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State | MO
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Zip | 65065-3008
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Country | US
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Telephone | 573-302-1604
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Fax | 573-302-1610
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. BECKY A SIMPSON
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Credential | MD
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Telephone | 573-302-1604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | R1F29
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License Number State | MO
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