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General NPI Number Information
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NPI Number | 1376630681
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Entity Type | Individual
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Provider Name | JAMES A SMITH III M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1055 DRESSER CT
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City | RALEIGH
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State | NC
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Zip | 27609-7323
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Country | US
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Telephone | 919-876-3130
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Fax | 919-876-3134
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Provider Business Mailing Address
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Address Line | 1502 W NC HIGHWAY 54 SUITE 103
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City | DURHAM
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State | NC
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Zip | 27707-5571
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Country | US
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Telephone | 919-403-2122
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Fax | 919-401-4993
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 24814
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License Number State | NC
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