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General NPI Number Information
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NPI Number | 1174701460
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Entity Type | Organization
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Legal Business Name | DR VICTORIA ANGELA MCGHEE SMITH, MD, APMC
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 4228 WILLIAMS BLVD SUITE 203
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City | KENNER
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State | LA
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Zip | 70065-2270
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Country | US
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Telephone | 504-496-0138
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Fax | 504-484-6660
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Provider Business Mailing Address
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Address Line | 4228 WILLIAMS BLVD SUITE 203
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City | KENNER
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State | LA
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Zip | 70065-2270
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Country | US
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Telephone | 504-496-0138
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Fax | 504-484-6660
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTORIA ANGELA MCGHEE SMITH
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Credential | MD
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Telephone | 504-496-0138
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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 | 024416
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License Number State | LA
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