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General NPI Number Information
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NPI Number | 1629230552
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Entity Type | Individual
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Provider Name | WILLIAM A SMITH JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 2021 N MACARTHUR BLVD STE 325
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City | IRVING
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State | TX
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Zip | 75061
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Country | US
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Telephone | 972-253-4210
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Fax | 972-253-2510
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Provider Business Mailing Address
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Address Line | 2021 N MACARTHUR BLVD
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City | IRVING
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State | TX
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Zip | 75061-2219
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Country | US
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Telephone | 972-253-4354
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Fax | 972-253-4218
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | P7572
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License Number State | TX
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