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General NPI Number Information
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NPI Number | 1477439347
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Entity Type | Individual
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Provider Name | ALICIA SMITH LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 4015 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1119
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Country | US
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Telephone | 806-725-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 7615 53RD ST
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City | LUBBOCK
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State | TX
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Zip | 79407-5456
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Country | US
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Telephone | 714-458-1631
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11171
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License Number State |
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