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General NPI Number Information
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NPI Number | 1033540109
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Entity Type | Individual
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Provider Name | JOSHUA NATHANIEL SMITH M.A./CF-SLP
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Gender | Male
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 1498 N BROADWAY ST
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City | GREENVILLE
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State | OH
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Zip | 45331-2454
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Country | US
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Telephone | 937-548-2317
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Fax |
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Provider Business Mailing Address
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Address Line | 6644 RUSH ST
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City | DUBLIN
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State | OH
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Zip | 43017-5181
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Country | US
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Telephone | 614-370-4250
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2014046
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License Number State | OH
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