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General NPI Number Information
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NPI Number | 1982427696
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Entity Type | Organization
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Legal Business Name | SUPPORTIVE MEDICINE PLLC
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 9601 BAPTIST HEALTH DR
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6321
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Country | US
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Telephone | 501-993-7923
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21119
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City | LITTLE ROCK
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State | AR
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Zip | 72221-1119
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Country | US
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Telephone | 501-993-7923
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Fax | 501-747-1044
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID E SMITH
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Credential | MD
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Telephone | 501-993-7923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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