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General NPI Number Information
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NPI Number | 1508105800
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Entity Type | Organization
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Legal Business Name | SMITH AGENCY LLC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 4245 W. HWY 50
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City | EMPORIA
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State | KS
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Zip | 66801
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Country | US
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Telephone | 620-343-3366
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Fax | 620-343-3366
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Provider Business Mailing Address
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Address Line | 4245 W. HWY 50
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City | EMPORIA
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State | KS
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Zip | 66801
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Country | US
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Telephone | 620-343-3366
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Fax | 620-343-3366
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | GEORGEANN SMITH
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Credential |
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Telephone | 620-343-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 100056630A
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 100056630A
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License Number State | KS
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