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General NPI Number Information
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NPI Number | 1548697766
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Entity Type | Organization
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Legal Business Name | MARY KREMPASKY SMITH, DDS, PLLC
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 6817 N CEDAR RD SUITE 101
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City | SPOKANE
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State | WA
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Zip | 99208-4277
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Country | US
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Telephone | 509-325-0233
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Fax | 509-325-7635
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Provider Business Mailing Address
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Address Line | 6817 N CEDAR RD SUITE 101
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City | SPOKANE
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State | WA
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Zip | 99208-4277
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Country | US
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Telephone | 509-325-0233
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Fax | 509-325-7635
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MARY KREMPASKY SMITH
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Credential | DDS
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Telephone | 509-325-0233
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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 | 5759
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License Number State | WA
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