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Individual
MR. MATTHEW JAMES SIMPSON
Active
Individual
MR. MATTHEW JAMES SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, CTA
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
NULL
363A00000X
Physician Assistant
Primary
1668
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470398819
—
NE
Enumeration date
08/16/2012
Last updated
03/17/2017
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