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General NPI Number Information
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NPI Number | 1255328928
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Entity Type | Individual
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Provider Name | ALTHEA J SMILEY MD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 101 E WOOD ST
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City | SPARTANBURG
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State | SC
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Zip | 29303-3040
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Country | US
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Telephone | 864-560-6122
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Fax | 864-560-6276
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Provider Business Mailing Address
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Address Line | 150 BLUFF AVE
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-3862
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Country | US
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Telephone | 800-394-4445
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Fax | 706-396-3252
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 14689
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License Number State | SC
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