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General NPI Number Information
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NPI Number | 1093190555
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Entity Type | Individual
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Provider Name | ERIN KIMBERLY SMITH I DPT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 11831 US-9W
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City | WEST COXSACKIE
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State | NY
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Zip | 12192
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Country | US
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Telephone | 518-731-1157
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Fax |
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Provider Business Mailing Address
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Address Line | 407 D ST APARTMENT 305
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City | BOSTON
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State | MA
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Zip | 02210-1941
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Country | US
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Telephone | 518-590-3944
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 21748
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 038865
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License Number State | NY
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