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General NPI Number Information
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NPI Number | 1619960861
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Entity Type | Organization
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Legal Business Name | SMITHS MEDICAL MD INC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1265 GREY FOX RD
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City | SAINT PAUL
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State | MN
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Zip | 55112-6929
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Country | US
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Telephone | 800-826-9703
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Fax | 651-628-7135
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Provider Business Mailing Address
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Address Line | 1265 GREY FOX RD
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City | SAINT PAUL
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State | MN
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Zip | 55112-6929
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Country | US
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Telephone | 800-826-9703
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Fax | 651-628-7135
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Authorized Official
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Title or Position | CONTRACTING DEPARTMENT
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Name | MRS. MICHELLE B FOLEY
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Credential |
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Telephone | 651-628-7025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4L862
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License Number State | MN
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