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General NPI Number Information
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NPI Number | 1538529946
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Entity Type | Individual
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Provider Name | CHRISTOPHER SMITH R.T.(R)
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Gender | Male
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 3600 W LOOP 250 N APT 1059
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City | MIDLAND
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State | TX
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Zip | 79707-3437
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Country | US
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Telephone | 918-442-8597
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 W LOOP 250 N APT 1059
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City | MIDLAND
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State | TX
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Zip | 79707-3437
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Country | US
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Telephone | 918-442-8597
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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 | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | RHT00106434
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | 107842
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | CRT89705
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License Number State | FL
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