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General NPI Number Information
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NPI Number | 1538562434
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Entity Type | Individual
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Provider Name | MRS. JAMIE L SMITH
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Gender | Female
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 5340 ROYALTON RD
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City | N ROYALTON
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State | OH
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Zip | 44133-4008
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Country | US
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Telephone | 440-230-1133
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Fax | 440-230-9243
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Provider Business Mailing Address
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Address Line | 15700 VAN AKEN BLVD APT 29
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City | SHAKER HTS
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State | OH
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Zip | 44120-5344
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Country | US
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Telephone | 440-230-1133
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Fax | 440-230-9243
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT014708
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License Number State | OH
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