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General NPI Number Information
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NPI Number | 1306277207
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Entity Type | Individual
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Provider Name | RODNEY SMITH
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Gender | Male
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 890 SW 2ND ST
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City | FLORIDA CITY
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State | FL
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Zip | 33034-4633
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Country | US
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Telephone | 786-238-8286
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Fax |
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Provider Business Mailing Address
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Address Line | 3935 NW 169TH TER
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-4524
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Country | US
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Telephone | 786-253-4178
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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