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General NPI Number Information
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NPI Number | 1669480901
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Entity Type | Individual
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Provider Name | LAURENCE N SMITH D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 10464 E NORTHWEST HWY
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City | DALLAS
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State | TX
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Zip | 75238-4608
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Country | US
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Telephone | 214-341-9373
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Fax | 214-341-0620
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Provider Business Mailing Address
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Address Line | 10464 E NORTHWEST HWY
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City | DALLAS
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State | TX
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Zip | 75238-4608
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Country | US
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Telephone | 214-341-9373
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Fax | 214-341-0620
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 4765
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License Number State | TX
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