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General NPI Number Information
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NPI Number | 1740769371
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Entity Type | Individual
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Provider Name | PATRICIA SMITHSON
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 9801 S 1ST ST
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City | AUSTIN
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State | TX
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Zip | 78748-6760
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Country | US
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Telephone | 512-292-3071
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Fax |
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Provider Business Mailing Address
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Address Line | 9801 S 1ST ST
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City | AUSTIN
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State | TX
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Zip | 78748-6760
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 1175879
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License Number State | TX
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