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General NPI Number Information
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NPI Number | 1104185818
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Entity Type | Individual
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Provider Name | NATHIFA SMITH DDS
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Gender | Female
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 4865 HEDGCOXE RD STE 100
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City | PLANO
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State | TX
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Zip | 75024-2409
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Country | US
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Telephone | 972-820-2022
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Fax | 972-820-2024
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Provider Business Mailing Address
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Address Line | 5601 PARKER HOUSE TERRACE APT 409
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City | HYATTSVILLE
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State | MD
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Zip | 20782
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Country | US
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Telephone | 850-212-0735
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN19563
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30806
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License Number State | TX
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