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General NPI Number Information
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NPI Number | 1457598880
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Entity Type | Individual
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Provider Name | STEPHEN ANTHONY SMITH DSC, PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-231-2556
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 ARLINGTON BLVD STE 5101
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City | FALLS CHURCH
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State | VA
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Zip | 22042-5101
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Country | US
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Telephone | 703-681-5647
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | NCCPA - 1100953
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License Number State | UT
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