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General NPI Number Information
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NPI Number | 1407407240
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Entity Type | Individual
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Provider Name | JANEL W SMITH LPC
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Gender | Female
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 14673 MIDWAY RD STE 110
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City | ADDISON
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State | TX
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Zip | 75001-3958
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Country | US
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Telephone | 682-472-9544
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 140743
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City | DALLAS
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State | TX
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Zip | 75214-0743
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Country | US
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Telephone | 757-842-2803
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 75234
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License Number State | TX
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