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General NPI Number Information
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NPI Number | 1548066897
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Entity Type | Individual
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Provider Name | WILLIAM TODD SMITH
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Gender | Male
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1805 27TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2686
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Country | US
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Telephone | 740-259-5433
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Fax | 740-259-2058
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Provider Business Mailing Address
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Address Line | 345 CURRENT RD
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City | PIKETON
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State | OH
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Zip | 45661-9601
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Country | US
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Telephone | 740-835-1437
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 08667
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License Number State | OH
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