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General NPI Number Information
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NPI Number | 1740649284
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Entity Type | Individual
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Provider Name | DR. GARRETT SMITH
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Gender | Male
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 527 N 291 HWY STE B
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City | LIBERTY
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State | MO
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Zip | 64068-1071
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Country | US
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Telephone | 816-806-8744
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Fax | 816-407-9811
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Provider Business Mailing Address
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Address Line | 527 N 291 HWY STE B
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City | LIBERTY
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State | MO
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Zip | 64068-1071
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Country | US
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Telephone | 816-407-9800
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Fax | 816-407-9811
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2016004608
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License Number State | MO
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