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General NPI Number Information
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NPI Number | 1528324670
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Entity Type | Individual
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Provider Name | EMILY HOFFMAN SMITH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1225 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1016
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Country | US
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Telephone | 314-617-2468
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1016
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Country | US
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Telephone | 314-617-2436
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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 | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 2016018715
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 4301101125
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2016018715
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License Number State | MO
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