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General NPI Number Information
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NPI Number | 1245619550
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Entity Type | Organization
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Legal Business Name | SMITH & WILLIAMS COMMUNITY HEALTHCARE LLC
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 303 3RD ST.
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City | NAVASOTA
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State | TX
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Zip | 77868
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Country | US
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Telephone | 281-224-1118
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Fax | 888-825-1327
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Provider Business Mailing Address
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Address Line | 303 3RD ST.
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City | NAVASOTA
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State | TX
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Zip | 77868
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Country | US
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Telephone | 281-224-1118
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Fax | 888-825-1327
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Authorized Official
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Title or Position | ALT ADMINISTRATOR
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Name | MS. MATTIE DAVIS
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Credential |
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Telephone | 281-224-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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