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General NPI Number Information
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NPI Number | 1750407482
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Entity Type | Organization
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Legal Business Name | RICHARD D. SMITH, JR., MD, APMC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3510 MAGNOLIA CV SUITE 120
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City | MONROE
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State | LA
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Zip | 71203-2372
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Country | US
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Telephone | 318-329-1180
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Fax | 318-329-2950
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Provider Business Mailing Address
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Address Line | 3510 MAGNOLIA CV SUITE 120
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City | MONROE
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State | LA
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Zip | 71203-2372
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Country | US
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Telephone | 318-329-1180
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Fax | 318-329-2950
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD DOUGLAS SMITH JR.
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Credential | M.D.
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Telephone | 318-329-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 05728R
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License Number State | LA
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