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General NPI Number Information
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NPI Number | 1245768456
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Entity Type | Individual
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Provider Name | NICHOLAS ZANE SMITH EDS.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 06/01/2017
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Provider Practice Location Address
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Address Line | 124 OHIO AVE
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City | TIFFIN
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State | OH
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Zip | 44883-1764
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Country | US
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Telephone | 419-455-9107
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Fax | 419-448-5221
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Provider Business Mailing Address
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Address Line | 1190 CHAMBERS RD APT 210C
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City | COLUMBUS
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State | OH
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Zip | 43212-1724
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Country | US
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Telephone | 661-912-7595
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | OH3256742
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License Number State | OH
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