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General NPI Number Information
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NPI Number | 1821005935
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Entity Type | Organization
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Legal Business Name | GARY A SMITH, MD, PLLC
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 7400 S POWER RD BLDG. 5, STE. 120
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City | GILBERT
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State | AZ
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Zip | 85297-9281
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Country | US
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Telephone | 480-988-1659
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Fax | 480-988-1871
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Provider Business Mailing Address
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Address Line | 7400 S POWER RD BLDG. 5, STE. 120
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City | GILBERT
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State | AZ
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Zip | 85297-9281
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Country | US
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Telephone | 480-988-1659
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Fax | 480-988-1871
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHELLY LEONARD
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Credential |
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Telephone | 480-279-0457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27779
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License Number State | AZ
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