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General NPI Number Information
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NPI Number | 1508830795
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Entity Type | Individual
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Provider Name | BRUCE L SMITH JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 1 MERCY LN SUITE 404
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6442
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Country | US
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Telephone | 501-321-1026
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Fax | 501-623-1021
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Provider Business Mailing Address
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Address Line | 1 MERCY LN SUITE 404
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6442
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Country | US
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Telephone | 501-321-1026
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Fax | 501-623-1021
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C4861
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License Number State | AR
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