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General NPI Number Information
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NPI Number | 1104821099
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Entity Type | Individual
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Provider Name | JOANNE HOLLIDAY SMITH D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 11/05/2023
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Provider Practice Location Address
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Address Line | 601 W BYPASS
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City | ANDALUSIA
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State | AL
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Zip | 36420-4732
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Country | US
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Telephone | 334-222-0184
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Fax | 334-222-0625
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | ANDALUSIA
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State | AL
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Zip | 36420-1211
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Country | US
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Telephone | 334-222-0184
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Fax | 334-222-0625
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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 | DO235
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License Number State | AL
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