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General NPI Number Information
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NPI Number | 1972895282
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Entity Type | Individual
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Provider Name | THOMAS ROSS SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 2516 BROADMOOR BLVD
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-322-1161
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Fax | 318-322-9313
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Provider Business Mailing Address
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Address Line | 130 DESIARD ST STE 355
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City | MONROE
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State | LA
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Zip | 71201-7363
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Country | US
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Telephone | 318-807-7875
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Fax | 318-812-6603
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD.206916
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD.206916
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License Number State | LA
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