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General NPI Number Information
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NPI Number | 1144425265
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Entity Type | Individual
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Provider Name | SYMATHIA D SMITH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 1741 E BELT BLVD ATTN: 4215TH USA HOSPITAL
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City | RICHMOND
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State | VA
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Zip | 23224-4913
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Country | US
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Telephone | 804-675-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 1556 SOUTHBURY AVE
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City | HENRICO
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State | VA
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Zip | 23231-5252
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Country | US
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Telephone | 804-291-6128
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119003410
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 0119003410
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License Number State | VA
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