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General NPI Number Information
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NPI Number | 1134289622
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Entity Type | Organization
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Legal Business Name | VALERIE SMITH MD FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 900 SCIOTO ST SUITE # 3
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City | URBANA
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State | OH
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Zip | 43078-2251
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Country | US
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Telephone | 937-652-2755
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Fax | 937-652-2758
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Provider Business Mailing Address
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Address Line | 900 SCIOTO ST SUITE # 3
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City | URBANA
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State | OH
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Zip | 43078-2251
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Country | US
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Telephone | 937-652-2755
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Fax | 937-652-2758
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VALERIE SMITH
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Credential | M.D.
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Telephone | 937-652-2755
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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 | 35-084489
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License Number State | OH
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