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General NPI Number Information
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NPI Number | 1508456567
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Entity Type | Individual
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Provider Name | DAVID ALLEN SMITH ARNP
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Gender | Male
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 2425 US HIGHWAY 2 E
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City | KALISPELL
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State | MT
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Zip | 59901-2309
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Country | US
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Telephone | 406-257-1680
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Fax | 406-257-3264
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Provider Business Mailing Address
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Address Line | 2596 WITTY LN
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City | COLUMBIA FALLS
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State | MT
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Zip | 59912-8830
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Country | US
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Telephone | 406-249-0876
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-174664
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License Number State | MT
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