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General NPI Number Information
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NPI Number | 1811108715
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Entity Type | Individual
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Provider Name | GEORGE SCOTT SMITH DMD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 161 HIBBARD ST SUITE 201
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City | PIKEVILLE
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State | KY
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Zip | 41501-1708
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Country | US
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Telephone | 606-432-2320
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Fax |
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Provider Business Mailing Address
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Address Line | 171 W CEDAR DR
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City | PIKEVILLE
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State | KY
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Zip | 41501
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Country | US
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Telephone | 606-794-2001
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5792
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License Number State | KY
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