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General NPI Number Information
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NPI Number | 1518948926
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Entity Type | Individual
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Provider Name | GEORGE NORVELL SMITH D O
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Gender | Male
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 500 MEADOW DR
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City | WEST
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State | TX
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Zip | 76691-1017
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Country | US
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Telephone | 254-826-5372
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Fax | 254-826-5371
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Provider Business Mailing Address
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Address Line | 500 MEADOW DR
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City | WEST
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State | TX
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Zip | 76691-1017
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Country | US
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Telephone | 254-826-5372
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Fax | 254-826-5371
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E5251
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License Number State | TX
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