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General NPI Number Information
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NPI Number | 1083720650
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Entity Type | Individual
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Provider Name | TERESA LAMBERT SMITH DDS
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 208 GRANT CANNON LN
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City | LAKEWAY
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State | TX
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Zip | 78738-1799
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Country | US
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Telephone | 760-822-8097
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Fax |
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Provider Business Mailing Address
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Address Line | 208 GRANT CANNON LN
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City | LAKEWAY
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State | TX
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Zip | 78738-1799
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Country | US
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Telephone | 760-822-8097
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Fax | 760-439-4863
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29175
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License Number State | TX
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