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General NPI Number Information
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NPI Number | 1346932134
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Entity Type | Individual
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Provider Name | SAMANTHA KAY SMITH PA
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 5600 S QUEBEC ST # A
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2207
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Country | US
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Telephone | 303-306-7783
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Fax |
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Provider Business Mailing Address
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Address Line | 10046 WHITE OAK PL
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-4671
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Country | US
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Telephone | 252-474-6299
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0008958
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License Number State | CO
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