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General NPI Number Information
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NPI Number | 1700224862
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Entity Type | Organization
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Legal Business Name | SMARTMED - IT SOLUTIONS LLC
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 155 HOSPITAL DR SUITE 103
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City | LAFAYETTE
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State | LA
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Zip | 70503-2852
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Country | US
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Telephone | 337-234-5541
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Fax | 337-593-8330
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Provider Business Mailing Address
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Address Line | 114 STONESBERRY DR
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City | LAFAYETTE
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State | LA
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Zip | 70508-5420
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Country | US
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Telephone | 800-923-8835
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Fax | 337-593-8330
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Authorized Official
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Title or Position | BILLING OFFICE MANAGER
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Name | USHA KRISHNAMOORTHY
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Credential | RHIA, CCS-P
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Telephone | 800-923-8835
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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 | MD204813
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD60353692
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License Number State | WA
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