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General NPI Number Information
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NPI Number | 1811121957
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Entity Type | Individual
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Provider Name | DAVID ALAN SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 801 S DOUGLAS RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-1355
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Country | US
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Telephone | 954-276-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S DOUGLAS RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-1355
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Country | US
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Telephone | 954-276-6500
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Fax | 954-437-0311
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10038999
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME128674
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35204
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License Number State | SC
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