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General NPI Number Information
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NPI Number | 1891123733
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Entity Type | Individual
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Provider Name | LAURA H SMITH RD, LD, CDCES
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Gender | Female
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR # 15580
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 512-359-8459
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Fax | 512-582-2957
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Provider Business Mailing Address
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Address Line | PO BOX 151735
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City | AUSTIN
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State | TX
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Zip | 78715-1735
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Country | US
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Telephone | 512-359-8459
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Fax | 512-582-2957
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT06494
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License Number State | TX
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