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General NPI Number Information
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NPI Number | 1144488701
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Entity Type | Organization
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Legal Business Name | GERIATRIC CONSULTANTS OF CENTRAL TEXAS, PA
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 901 N FISK AVE # 224
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City | BROWNWOOD
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State | TX
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Zip | 76801-8236
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Country | US
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Telephone | 325-641-8839
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Fax | 325-646-6676
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Provider Business Mailing Address
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Address Line | 901 N FISK AVE # 224
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City | BROWNWOOD
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State | TX
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Zip | 76801-8236
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Country | US
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Telephone | 325-641-8839
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Fax | 325-646-6676
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Authorized Official
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Title or Position | MD
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Name | DAVID A SMITH
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Credential | MD
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Telephone | 325-641-8839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | J9812
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License Number State | TX
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