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General NPI Number Information
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NPI Number | 1124201629
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Entity Type | Organization
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Legal Business Name | RANDY L SMITH DBA C&R MEDICAL
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2908 SE LOOP 820
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City | FORT WORTH
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State | TX
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Zip | 76140-1019
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Country | US
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Telephone | 817-590-8166
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Fax | 817-590-8277
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Provider Business Mailing Address
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Address Line | 2908 SE LOOP 820
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City | FORT WORTH
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State | TX
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Zip | 76140-1019
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Country | US
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Telephone | 817-590-8166
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Fax | 817-590-8277
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Authorized Official
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Title or Position | OWNER
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Name | MR. RANDY LEE SMITH
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Credential |
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Telephone | 817-590-8166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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