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General NPI Number Information
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NPI Number | 1568451367
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Entity Type | Individual
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Provider Name | ANDREW C SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 200 MAIN ST
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City | GUTTENBERG
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State | IA
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Zip | 52052-9108
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Country | US
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Telephone | 563-252-2141
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Fax | 563-252-9013
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | GUTTENBERG
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State | IA
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Zip | 52052-0550
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Country | US
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Telephone | 563-252-2141
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Fax | 563-252-9013
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22622
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License Number State | IA
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