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General NPI Number Information
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NPI Number | 1679974463
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Entity Type | Individual
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Provider Name | SAMANTHA BRITTANY SMITH AUD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 5673 PEACHTREE DUNWOODY RD STE 150
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City | ATLANTA
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State | GA
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Zip | 30342-1771
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Country | US
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Telephone | 404-297-4230
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Fax | 404-252-7255
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Provider Business Mailing Address
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Address Line | 215 RIVERSTONE DR
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City | CANTON
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State | GA
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Zip | 30114-5256
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Country | US
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Telephone | 770-345-6600
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Fax | 770-345-6611
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD003981
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License Number State | GA
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