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General NPI Number Information
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NPI Number | 1801268495
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Entity Type | Individual
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Provider Name | NAVORRIS SMITH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 1613 E. PFLUGERVILLE PARKWAY
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City | PFLUGERVILLE
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State | TX
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Zip | 78660
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Country | US
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Telephone | 512-291-6993
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Fax | 512-291-7297
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Provider Business Mailing Address
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Address Line | 1316 TOWN CENTER DR 3131
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7894
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Country | US
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Telephone | 512-291-6993
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Fax | 512-291-7297
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 32019
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License Number State | TX
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