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General NPI Number Information
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NPI Number | 1629269477
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Entity Type | Organization
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Legal Business Name | W. TODD SMITH, M.D., P.A.
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 100 WILBURN WAY
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City | STARKVILLE
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State | MS
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Zip | 39759-3692
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Country | US
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Telephone | 662-320-4008
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Fax | 662-323-6007
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Provider Business Mailing Address
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Address Line | 100 WILBURN WAY
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City | STARKVILLE
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State | MS
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Zip | 39759-3692
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Country | US
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Telephone | 662-320-4008
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Fax | 662-323-6007
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. WILLIAM TODD SMITH
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Credential | M.D.
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Telephone | 662-320-4008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 15956
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License Number State | MS
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