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General NPI Number Information
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NPI Number | 1942338876
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Entity Type | Organization
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Legal Business Name | DWIGHT H. SMITH, M.D., INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1711 W TEMPLE ST 7TH FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90026-5421
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Country | US
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Telephone | 213-413-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 165 N LA BREA AVE
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City | INGLEWOOD
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State | CA
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Zip | 90301-1707
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Country | US
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Telephone | 332-678-1111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DWIGHT SMITH
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Credential | M.D.
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Telephone | 323-678-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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