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NPI 1245991207

NPI 1245991207 : JERI CATON SMITH PA-C : SPRING, TX

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General NPI Number Information
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    NPI Number           |    1245991207
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    Entity Type          |    Individual 
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    Provider Name        |    JERI CATON SMITH PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/03/2022
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    Last Update Date     |    07/11/2025
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Provider Practice Location Address
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    Address Line         |    20311 KUYKENDAHL RD 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379-5495
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    Country              |    US
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    Telephone            |    832-717-3376
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    Fax                  |    832-717-0004
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Provider Business Mailing Address
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    Address Line         |    1164 BUFFALO RUN 
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    City                 |    BUFFALO GAP
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    State                |    TX
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    Zip                  |    79508-2040
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    Country              |    US
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    Telephone            |    325-665-5347
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA15465
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    License Number State |    TX
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