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General NPI Number Information
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NPI Number | 1427305820
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Entity Type | Organization
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Legal Business Name | BRETT E. SMITH, DPM, PA
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 1610 JAMES BOWIE DR STE A102
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City | BAYTOWN
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State | TX
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Zip | 77520-3346
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Country | US
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Telephone | 281-427-2015
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Fax | 281-422-9305
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Provider Business Mailing Address
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Address Line | 1610 JAMES BOWIE DR STE A102
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City | BAYTOWN
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State | TX
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Zip | 77520-3346
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Country | US
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Telephone | 281-427-2015
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Fax | 281-422-9305
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRETT E SMITH
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Credential | D.P.M.
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Telephone | 281-427-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1999
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License Number State | TX
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