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General NPI Number Information
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NPI Number | 1952523243
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Entity Type | Individual
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Provider Name | MERLE MCFADDEN SIMPSON RRT
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 180055 THOMAS DR
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City | SCOTSBLUFF
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State | NE
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Zip | 69361
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Country | US
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Telephone | 308-641-7994
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Fax |
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Provider Business Mailing Address
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Address Line | 180055 THOMAS DR
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City | SCOTSBLUFF
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State | NE
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Zip | 69361
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Country | US
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Telephone | 308-641-7994
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Fax |
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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 | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number | 1532
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License Number State | CO
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