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General NPI Number Information
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NPI Number | 1588648463
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Entity Type | Individual
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Provider Name | KRISTIN LYNN SMITH PT
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Gender | Female
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 8700 PINEVILLE MATTHEWS RD STE 540
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City | CHARLOTTE
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State | NC
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Zip | 28226-4749
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Country | US
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Telephone | 704-751-0532
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Fax | 704-544-1104
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Provider Business Mailing Address
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Address Line | 8700 PINEVILLE MATTHEWS RD STE 540
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City | CHARLOTTE
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State | NC
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Zip | 28226-4749
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Country | US
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Telephone | 704-751-0532
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Fax | 704-544-1104
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11220
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P15576
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P17127
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License Number State | NC
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