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General NPI Number Information
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NPI Number | 1104814607
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Entity Type | Individual
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Provider Name | FILIZ A SMITH MD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 333 MONTANO RD NW STE A1
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-5200
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Country | US
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Telephone | 505-777-3003
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29329
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City | SANTA FE
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State | NM
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Zip | 87592-9329
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Country | US
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Telephone | 505-316-3157
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57446
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9112874-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2018-0182
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License Number State | NM
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