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General NPI Number Information
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NPI Number | 1952579674
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Entity Type | Organization
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Legal Business Name | DR. STEPHEN L. SIMPSON, M.D., P.C.
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 198 GROTON RD SUITE 1
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City | AYER
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State | MA
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Zip | 01432-1177
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Country | US
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Telephone | 978-862-0025
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Fax | 978-862-0049
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Provider Business Mailing Address
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Address Line | PO BOX 6300
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City | PROVIDENCE
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State | RI
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Zip | 02940-6300
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Country | US
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Telephone | 978-862-0025
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Fax | 978-862-0049
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SARA J. FLANNERY
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Credential |
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Telephone | 978-862-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 205051
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License Number State | MA
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