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General NPI Number Information
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NPI Number | 1912718792
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Entity Type | Organization
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Legal Business Name | JOSHUA SMITH MD INCORPORATED
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 4400 GRANT BLVD
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City | YUKON
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State | OK
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Zip | 73099-0037
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Country | US
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Telephone | 405-216-1033
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Fax | 405-216-1033
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Provider Business Mailing Address
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Address Line | 4400 GRANT BLVD
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City | YUKON
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State | OK
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Zip | 73099-0037
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Country | US
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Telephone | 405-216-1033
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Fax | 405-216-1034
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOSHUA SCOTT SMITH
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Credential |
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Telephone | 405-216-1033
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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 |
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License Number State |
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