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General NPI Number Information
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NPI Number | 1114920808
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Entity Type | Individual
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Provider Name | DENISE LYNN SMITH D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 777 S FRY RD SUITE 101
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City | KATY
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State | TX
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Zip | 77450-2297
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Country | US
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Telephone | 281-398-1113
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Fax | 281-398-1114
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Provider Business Mailing Address
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Address Line | 826 HIDDEN CANYON RD
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City | KATY
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State | TX
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Zip | 77450-3724
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Country | US
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Telephone | 713-412-4314
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9935
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License Number State | TX
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