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General NPI Number Information
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NPI Number | 1548573702
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Entity Type | Individual
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Provider Name | ERIK J SMITH D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 2578 IDAHO ST
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City | ELKO
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State | NV
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Zip | 89801-4601
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Country | US
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Telephone | 775-299-4790
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Fax | 757-738-0495
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Provider Business Mailing Address
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Address Line | 29 WARREN AVE
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City | MANSFIELD
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State | MA
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Zip | 02048-1328
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Country | US
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Telephone | 774-284-4589
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DL10984
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS039104
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D-4560-PD
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | S6-127C
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License Number State | NV
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