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General NPI Number Information
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NPI Number | 1497151781
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Entity Type | Individual
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Provider Name | ROSLIN SMITH RRT
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Gender | Female
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 7400 MERTON MINTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 210-617-5300
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Fax | 210-617-5211
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Provider Business Mailing Address
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Address Line | 3730 FAIRFIELD AVE UNIT 118
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City | SHREVEPORT
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State | LA
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Zip | 71104-4770
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Country | US
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Telephone | 850-532-9308
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 77823
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | LRT.000987
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License Number State | LA
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