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General NPI Number Information
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NPI Number | 1558826933
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Entity Type | Organization
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Legal Business Name | KAMILIA TAGI SMITH MD PLLC
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Dates
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Enumeration Date | 02/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 3611 SWISS AVE STE 201
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City | DALLAS
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State | TX
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Zip | 75204-6245
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Country | US
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Telephone | 214-477-9239
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Fax |
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Provider Business Mailing Address
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Address Line | 3611 SWISS AVE STE 201
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City | DALLAS
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State | TX
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Zip | 75204-6245
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Country | US
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Telephone | 214-821-3313
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Fax | 214-247-1160
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Authorized Official
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Title or Position | PHYSICIAN/PRACTICE OWNER
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Name | DR. KAMILIA TAGI SMITH
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Credential | MD
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Telephone | 214-477-9239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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