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General NPI Number Information
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NPI Number | 1265373450
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Entity Type | Individual
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Provider Name | ADDISON SMITH
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Gender | Female
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | WALKER BLDG 2316, 362 THACH CONCOURSE
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City | AUBURN
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State | AL
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Zip | 36849-0001
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Country | US
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Telephone | 334-844-8348
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 E SAMFORD AVE UNIT 620
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City | AUBURN
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State | AL
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Zip | 36830-6506
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Country | US
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Telephone | 334-455-5521
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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