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General NPI Number Information
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NPI Number | 1710803325
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Entity Type | Individual
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Provider Name | GREGG SMITH
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Gender | Male
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 2212 GRANT RD
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City | BILLINGS
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State | MT
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Zip | 59102-7442
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Country | US
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Telephone | 406-613-7073
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Fax |
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Provider Business Mailing Address
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Address Line | 3032 ROSEBUD DR
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City | BILLINGS
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State | MT
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Zip | 59102-6140
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Country | US
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Telephone | 920-850-4135
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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