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General NPI Number Information
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NPI Number | 1538444880
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Entity Type | Individual
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Provider Name | JOSHUA L. SMITH PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 704 S. MAIN ST.
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City | HILLSBORO
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State | KS
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Zip | 67063
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Country | US
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Telephone | 620-947-1421
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Fax | 620-947-3701
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Provider Business Mailing Address
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Address Line | 704 S. MAIN ST.
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City | HILLSBORO
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State | KS
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Zip | 67063
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Country | US
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Telephone | 620-947-1421
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Fax | 620-947-3701
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1501472
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License Number State | KS
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