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General NPI Number Information
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NPI Number | 1780771824
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Entity Type | Individual
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Provider Name | PAMELA ANN SMITH M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 803 POPLAR ST
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City | MURRAY
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State | KY
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Zip | 42071-2432
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Country | US
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Telephone | 270-762-1597
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Fax | 270-752-2860
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Provider Business Mailing Address
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Address Line | 201 PARK ST
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1742
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Country | US
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Telephone | 270-781-5111
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Fax | 270-780-0474
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 50487
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License Number State | KY
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