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General NPI Number Information
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NPI Number | 1699793992
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Entity Type | Individual
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Provider Name | ELMER G SMITH JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1999 FOREST RIDGE DR
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City | BEDFORD
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State | TX
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Zip | 76021-5724
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Country | US
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Telephone | 682-738-3158
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Fax | 682-738-3111
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Provider Business Mailing Address
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Address Line | 6120 MAYFAIR MEWS
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-1412
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Country | US
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Telephone | 817-564-5073
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K9424
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License Number State | TX
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