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General NPI Number Information
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NPI Number | 1659316446
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Entity Type | Organization
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Legal Business Name | SHIRLEY S SMITH M D PLLC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3219 E CAMELBACK RD STE 188
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City | PHOENIX
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State | AZ
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Zip | 85018-2307
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Country | US
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Telephone | 602-395-0718
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Fax | 602-277-8146
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Provider Business Mailing Address
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Address Line | 3219 E CAMELBACK RD STE 188
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City | PHOENIX
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State | AZ
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Zip | 85018-2307
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Country | US
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Telephone | 26-432-5971
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Fax | 602-267-8189
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LESLIE DIGGES
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Credential |
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Telephone | 602-395-0718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20739
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License Number State | AS
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