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General NPI Number Information
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NPI Number | 1144310624
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Entity Type | Individual
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Provider Name | DAVID PERRY SMITH MD, FAAFP
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 8600 ANDREW CARNEGIE BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28262-8551
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Country | US
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Telephone | 704-988-2572
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Fax | 980-265-0219
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Provider Business Mailing Address
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Address Line | PO BOX 2062
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-2062
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Country | US
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Telephone | 704-288-3961
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Fax | 888-869-8634
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2018-02766
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License Number State | NC
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