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General NPI Number Information
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NPI Number | 1184770869
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Entity Type | Individual
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Provider Name | DR. ALEXANDRA SMART
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 274 UNION BLVD STE 110
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City | LAKEWOOD
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State | CO
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Zip | 80228-1836
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Country | US
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Telephone | 303-951-0600
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Fax | 303-951-0605
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Provider Business Mailing Address
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Address Line | 274 UNION BLVD STE 110
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City | LAKEWOOD
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State | CO
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Zip | 80228-1836
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Country | US
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Telephone | 303-951-0600
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Fax | 303-951-0605
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 47901
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License Number State | CO
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