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General NPI Number Information
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NPI Number | 1659411668
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Entity Type | Individual
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Provider Name | WILLIAM SMITH LMFT
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 2650 E SHOW LOW LAKE RD STE 1
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City | SHOW LOW
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State | AZ
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Zip | 85901-7955
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Country | US
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Telephone | 928-537-4300
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Fax | 928-532-6901
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Provider Business Mailing Address
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Address Line | PO BOX 3630
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City | FLAGSTAFF
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State | AZ
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Zip | 86003-3630
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Country | US
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Telephone | 928-522-9400
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Fax | 928-774-4808
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 15131
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 98
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License Number State | NH
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