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General NPI Number Information
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NPI Number | 1851698492
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Entity Type | Organization
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Legal Business Name | DOUGLAS C. SMITH, M.D., P.A.
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 6130 W PARKER RD SUITE 506
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City | PLANO
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State | TX
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Zip | 75093-7912
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Country | US
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Telephone | 972-981-8490
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Fax | 972-981-8486
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Provider Business Mailing Address
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Address Line | 6130 W PARKER RD SUITE 506
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City | PLANO
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State | TX
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Zip | 75093-7912
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Country | US
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Telephone | 972-981-8490
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Fax | 972-981-8486
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS C SMITH
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Credential | M.D.
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Telephone | 972-981-8490
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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 | G8423
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License Number State | TX
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