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General NPI Number Information
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NPI Number | 1093720922
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Entity Type | Organization
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Legal Business Name | ERIC F. SMITH, DO PSC
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 617 23RD ST SUITE 130
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City | ASHLAND
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State | KY
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Zip | 41101-2845
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Country | US
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Telephone | 606-329-2888
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Fax | 606-329-2890
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Provider Business Mailing Address
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Address Line | 617 23RD ST SUITE 130
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City | ASHLAND
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State | KY
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Zip | 41101-2845
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Country | US
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Telephone | 606-329-2888
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Fax | 606-329-2890
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC F. SMITH
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Credential | DO
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Telephone | 606-329-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TP043
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License Number State | KY
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