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General NPI Number Information
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NPI Number | 1518884568
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Entity Type | Individual
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Provider Name | JAMIE SMITH
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Gender | Female
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 2301 E WACO DR
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City | WACO
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State | TX
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Zip | 76705-3207
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Country | US
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Telephone | 254-424-0239
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Fax |
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Provider Business Mailing Address
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Address Line | 13311 W COUNTY ROAD 122 TRLR 16
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City | ODESSA
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State | TX
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Zip | 79765-8814
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Country | US
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Telephone | 432-889-4588
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 81082
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License Number State | TX
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