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General NPI Number Information
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NPI Number | 1275901910
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Entity Type | Organization
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Legal Business Name | ASHLEE R. SMITH, D.O., INC.
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 2175 ROSALINE AVE
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City | REDDING
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State | CA
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Zip | 96001-2549
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Country | US
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Telephone | 304-222-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 3632 MOUNT ASHLAND AVE
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City | REDDING
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State | CA
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Zip | 96001-2240
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Country | US
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Telephone | 304-222-2745
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHLEE REBECCA SMITH
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Credential | D.O.
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Telephone | 304-222-2745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 20A13991
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License Number State | CA
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