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General NPI Number Information
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NPI Number | 1578544227
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Entity Type | Organization
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Legal Business Name | RONALD D SMITH MD PA
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 527 N 6TH ST
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-2407
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Country | US
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Telephone | 870-763-4541
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Fax | 870-762-2390
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Provider Business Mailing Address
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Address Line | 527 N 6TH ST
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-2407
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Country | US
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Telephone | 870-763-4541
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Fax | 870-762-2390
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JULIA ANN YANKEE
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Credential |
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Telephone | 870-763-4541
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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 | C4413
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License Number State |
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