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General NPI Number Information
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NPI Number | 1548192768
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Entity Type | Individual
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Provider Name | JOSLYNN ROSE SMITH DMD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 2727 N OAKLAND AVE STE 104
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City | DECATUR
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State | IL
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Zip | 62526-3179
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Country | US
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Telephone | 217-875-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 N OAKLAND AVE STE 104
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City | DECATUR
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State | IL
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Zip | 62526-3179
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Country | US
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Telephone | 217-875-4555
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.037116
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License Number State | IL
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