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General NPI Number Information
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NPI Number | 1720938434
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Entity Type | Individual
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Provider Name | ERIC SMITH MA
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Gender | Male
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1735 GUESS RD
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City | DURHAM
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State | NC
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Zip | 27701-1163
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Country | US
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Telephone | 919-514-3566
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Fax |
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Provider Business Mailing Address
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Address Line | 1591 CHAMBERS LOOP RD
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City | TIMBERLAKE
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State | NC
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Zip | 27583-9083
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Country | US
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Telephone |
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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 | A22501
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License Number State | NC
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