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General NPI Number Information
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NPI Number | 1134498330
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Entity Type | Individual
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Provider Name | DANIEL TIMOTHY SMITH M.D
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Gender | Male
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | 1500 S 48TH ST STE 506
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City | LINCOLN
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State | NE
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Zip | 68506-1279
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Country | US
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Telephone | 402-489-1110
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Fax | 402-489-8492
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Provider Business Mailing Address
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Address Line | 1500 S 48TH ST STE 506
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City | LINCOLN
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State | NE
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Zip | 68506-1279
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Country | US
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Telephone | 402-489-1110
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Fax | 402-489-8492
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 29979
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License Number State | NE
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