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NPI 1023385671

NPI 1023385671 : DON A. SMITH, INC : DENTON, TX

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General NPI Number Information
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    NPI Number           |    1023385671
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    Entity Type          |    Organization 
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    Legal Business Name  |    DON A. SMITH, INC 
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Dates
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    Enumeration Date     |    11/28/2011
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    Last Update Date     |    11/28/2011
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Provider Practice Location Address
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    Address Line         |    4228 I-35 N. 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76207-3408
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    Country              |    US
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    Telephone            |    940-382-0512
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    Fax                  |    940-383-3105
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Provider Business Mailing Address
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    Address Line         |    4228 I-35 N. 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76207-3408
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    Country              |    US
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    Telephone            |    940-382-0512
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    Fax                  |    940-383-3105
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Authorized Official
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    Title or Position    |    OWNER/PROVIDER
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    Name                 |    DR. DON A SMITH 
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    Credential           |    PH.D.
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    Telephone            |    940-382-0512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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