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General NPI Number Information
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NPI Number | 1336532951
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Entity Type | Individual
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Provider Name | JASON ARTHUR SMITH CPTA
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Gender | Male
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 7001 W PLANO PKWY
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City | PLANO
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State | TX
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Zip | 75093-8867
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Country | US
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Telephone | 469-521-7638
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Fax |
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Provider Business Mailing Address
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Address Line | 951 GREENSIDE DR 8315
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City | RICHARDSON
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State | TX
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Zip | 75080-1178
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Country | US
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Telephone | 816-547-6792
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 14-02828
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2124791
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License Number State | TX
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