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General NPI Number Information
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NPI Number | 1407863632
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Entity Type | Individual
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Provider Name | DREW G. SMITH DDS
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3277 WHITE MOUNTAIN HWY
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5113
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Country | US
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Telephone | 603-356-9755
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Fax | 603-356-9754
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | NORTH CONWAY
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State | NH
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Zip | 03860-1289
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Country | US
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Telephone | 603-356-9755
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Fax | 603-356-9754
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2429
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License Number State | NH
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