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General NPI Number Information
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NPI Number | 1518837764
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Entity Type | Individual
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Provider Name | COLIN SMITH
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Gender | Male
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 8099 LA PLZ STE H
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City | COTATI
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State | CA
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Zip | 94931-4253
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Country | US
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Telephone | 828-579-0657
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Fax |
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Provider Business Mailing Address
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Address Line | 3110A CALIFORNIA ST
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City | BERKELEY
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State | CA
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Zip | 94703-2308
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Country | US
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Telephone | 828-579-0657
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC20444
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License Number State | CA
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