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General NPI Number Information
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NPI Number | 1376986901
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Entity Type | Individual
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Provider Name | JAMES BRIAN SMITH D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2013
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 815 S CLAIRBORNE RD STE 150
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City | OLATHE
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State | KS
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Zip | 66062-1930
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Country | US
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Telephone | 913-884-1924
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Fax |
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Provider Business Mailing Address
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Address Line | 904 WOLLARD BLVD
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City | RICHMOND
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State | MO
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Zip | 64085-2229
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2014030563
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-39263
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9571555
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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