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General NPI Number Information
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NPI Number | 1245407147
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Entity Type | Individual
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Provider Name | ERIC SHAWN SMITH DDS
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Gender | Male
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Dates
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Enumeration Date | 05/11/2008
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 3901 FM 2181 SUITE 100
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City | CORINTH
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State | TX
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Zip | 76210
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Country | US
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Telephone | 940-321-2340
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Fax | 940-321-2394
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Provider Business Mailing Address
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Address Line | 3901 FM 2181 SUITE 100
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City | CORINTH
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State | TX
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Zip | 76210
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Country | US
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Telephone | 940-321-2340
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Fax | 940-321-2394
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23301
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License Number State | TX
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