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General NPI Number Information
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NPI Number | 1477565364
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Entity Type | Individual
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Provider Name | SUZANNE M SMITH D.P.M
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 5700 ROWLETT RD SUITE 140
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City | ROWLETT
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State | TX
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Zip | 75089-7922
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Country | US
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Telephone | 972-412-1347
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Fax | 972-463-1185
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Provider Business Mailing Address
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Address Line | 3136 HORIZON RD STE 120
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City | ROCKWALL
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State | TX
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Zip | 75032-7808
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Country | US
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Telephone | 972-412-1347
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Fax | 972-463-1185
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0899
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License Number State | TX
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