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General NPI Number Information
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NPI Number | 1700933496
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Entity Type | Individual
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Provider Name | RONALD DAVID SMITH MASTERS OF SCIENCE
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2086 COMMERCE AVE
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City | CONCORD
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State | CA
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Zip | 94520-4902
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Country | US
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Telephone | 925-603-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 115 ACORN LANE #217
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City | PITTSBURG
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State | CA
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Zip | 94565-4220
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Country | US
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Telephone | 925-458-4660
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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