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General NPI Number Information
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NPI Number | 1053594911
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Entity Type | Organization
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Legal Business Name | DR. CYNTHIA SWAYZE SMITH D.O
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 7777 FOREST LN BLDG C SUITE A94 PMB 138
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 469-360-6787
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN BLDG C SUITE A94 PMB 138
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 469-360-6787
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Fax |
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Authorized Official
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Title or Position | PHYSICAN
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Name | DR. CYNTHIA D SWAYZE-SMITH
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Credential | D.O.
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Telephone | 469-360-6787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L4741
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License Number State | TX
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