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General NPI Number Information
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NPI Number | 1831134949
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Entity Type | Organization
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Legal Business Name | GREGORY S. SMITH & ASSOCIATES, P.A.
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 161 LANDMARK DR
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City | TAYLORS
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State | SC
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Zip | 29687-2819
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Country | US
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Telephone | 864-244-0154
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Fax | 864-609-5003
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Provider Business Mailing Address
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Address Line | 161 LANDMARK DR
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City | TAYLORS
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State | SC
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Zip | 29687-2819
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Country | US
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Telephone | 864-244-0154
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Fax | 864-609-5003
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY STANLEY SMITH
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Credential | LISW CPS
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Telephone | 864-244-0154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6075
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License Number State | SC
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