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General NPI Number Information
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NPI Number | 1891902573
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Entity Type | Individual
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Provider Name | BRICE T. SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 8345 NW 66TH ST #3824
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City | MIAMI
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State | FL
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Zip | 33166-2626
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Country | US
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Telephone | 305-807-3799
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Fax |
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Provider Business Mailing Address
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Address Line | 8345 NW 66TH ST #3824
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City | MIAMI
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State | FL
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Zip | 33166-2626
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Country | US
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Telephone | 305-807-3799
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20437
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 053725
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 200001536
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25154
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 36330
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L4722
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License Number State | TX
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