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General NPI Number Information
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NPI Number | 1669477345
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Entity Type | Individual
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Provider Name | VINSON A SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 11650 ALPHARETTA HIGHWAY SUITE 100
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City | ROSWELL
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State | GA
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Zip | 30076
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Country | US
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Telephone | 404-596-5670
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Fax | 770-338-8268
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Provider Business Mailing Address
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Address Line | 11650 ALPHARETTA HIGHWAY SUITE 100
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City | ROSWELL
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State | GA
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Zip | 30076
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Country | US
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Telephone | 404-596-5670
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Fax | 770-338-8268
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 056367
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License Number State | GA
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