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General NPI Number Information
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NPI Number | 1598294753
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Entity Type | Individual
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Provider Name | ANNIE SMITH DMD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 3466 CLARK RD STE 410
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City | SARASOTA
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State | FL
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Zip | 34231-8406
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Country | US
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Telephone | 941-927-1705
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Fax |
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Provider Business Mailing Address
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Address Line | 1084 SW 142ND PL
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City | MIAMI
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State | FL
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Zip | 33184-3075
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Country | US
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Telephone | 786-383-7692
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN22676
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License Number State | FL
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