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General NPI Number Information
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NPI Number | 1114369675
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Entity Type | Individual
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Provider Name | RACHEL LEIGH SMITH AU.D.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 1700 TREE LN SUITE 320
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City | SNELLVILLE
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State | GA
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Zip | 30078-6782
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Country | US
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Telephone | 770-985-6233
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Fax | 770-985-6864
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Provider Business Mailing Address
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Address Line | 1413 WESTCHESTER RDG NE
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City | ATLANTA
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State | GA
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Zip | 30329-2484
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Country | US
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Telephone | 814-335-1466
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD003934
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License Number State | GA
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