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General NPI Number Information
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NPI Number | 1386283158
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Entity Type | Organization
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Legal Business Name | SMITH PSYCHIATRY PLLC
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 6940 SIERRA CENTER PKWY
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City | RENO
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State | NV
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Zip | 89511-2209
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Country | US
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Telephone | 775-393-2000
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Fax | 775-851-1456
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Provider Business Mailing Address
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Address Line | PO BOX 18565
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City | RENO
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State | NV
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Zip | 89511-0565
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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 | OWNER / PHYSICIAN
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Name | DR. WALTER DAVID SMITH
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Credential | MD
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Telephone | 775-378-6992
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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 |
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License Number State |
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