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General NPI Number Information
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NPI Number | 1235296120
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Entity Type | Individual
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Provider Name | STEVEN CLAY SMITH ANP-C
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 MOCKSVILLE AVE SUITE 200
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City | SALISBURY
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State | NC
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Zip | 28144-2735
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Country | US
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Telephone | 704-637-1123
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Fax | 704-637-1214
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Provider Business Mailing Address
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Address Line | 160 WHITE OAK CT
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City | LEXINGTON
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State | NC
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Zip | 27295-6131
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Country | US
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Telephone | 336-731-2418
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9000413
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License Number State | NC
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