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General NPI Number Information
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NPI Number | 1437361334
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Entity Type | Individual
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Provider Name | JEFFREY SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 1075 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2248
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Country | US
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Telephone | 864-583-7265
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Fax | 864-591-0422
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Provider Business Mailing Address
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Address Line | 1075 BOILING SPRINGS RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2248
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Country | US
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Telephone | 864-583-7265
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Fax | 864-591-0422
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 57011532
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | N6674
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD35262
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License Number State | SC
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