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General NPI Number Information
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NPI Number | 1184063182
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Entity Type | Individual
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Provider Name | WILLIAM COREY SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 19 MEDICAL PLZ STE 10
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2918
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Country | US
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Telephone | 870-232-0948
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Fax | 870-424-3181
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Provider Business Mailing Address
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Address Line | PO BOX 1449
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City | MOUNTAIN HOME
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State | AR
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Zip | 72654-1449
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Country | US
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Telephone | 870-424-3181
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Fax | 870-424-3089
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E-10510
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | E-10510
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License Number State | AR
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