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General NPI Number Information
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NPI Number | 1972507655
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Entity Type | Individual
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Provider Name | DALLAS AARON SMITH JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 109 MUIRS CHAPEL RD LOWER LEVEL
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City | GREENSBORO
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State | NC
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Zip | 27410-6161
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Country | US
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Telephone | 336-852-3300
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Fax | 336-387-2165
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Provider Business Mailing Address
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Address Line | PO BOX 4778
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City | GREENSBORO
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State | NC
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Zip | 27404-4778
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Country | US
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Telephone | 336-542-2900
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Fax | 336-542-2929
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 20965
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 20965
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 20965
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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 | 20965
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License Number State | NC
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