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General NPI Number Information
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NPI Number | 1417159625
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Entity Type | Individual
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Provider Name | AARON DOUGLAS SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/24/2012
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Provider Practice Location Address
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Address Line | 5901 CORPORATE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-1941
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Country | US
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Telephone | 520-370-7660
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 CORPORATE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-1941
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Country | US
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Telephone | 520-370-7660
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 76938
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 103757
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 48708
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License Number State | CO
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