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General NPI Number Information
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NPI Number | 1255539755
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Entity Type | Organization
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Legal Business Name | CRAIG D SMITH MD PA
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 12222 MERIT DR SUITE# 1420
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City | DALLAS
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State | TX
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Zip | 75251-2217
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Country | US
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Telephone | 972-233-6237
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Fax |
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Provider Business Mailing Address
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Address Line | 12222 MERIT DR SUITE# 1420
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City | DALLAS
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State | TX
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Zip | 75251-2217
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Country | US
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Telephone | 972-233-6237
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG DOUGLAS SMITH
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Credential | M.D.
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Telephone | 972-233-6237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E6622
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License Number State | TX
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