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General NPI Number Information
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NPI Number | 1699123042
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Entity Type | Organization
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Legal Business Name | SMITH PERFORMANCE CENTER
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 5602 E. 5TH STREET
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City | TUCSON
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State | AZ
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Zip | 85711
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Country | US
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Telephone | 520-398-4886
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Fax | 520-398-4775
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Provider Business Mailing Address
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Address Line | 5602 E. 5TH STREET
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City | TUCSON
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State | AZ
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Zip | 85711
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Country | US
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Telephone | 520-398-4886
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Fax | 520-398-4775
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Authorized Official
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Title or Position | DRIRECTOR, OWNER/PHYSICAL THERAPIST
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Name | DR. CRAIG SMITH
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Credential | PT
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Telephone | 520-398-4886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | AZ
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