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General NPI Number Information
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NPI Number | 1982779526
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Entity Type | Individual
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Provider Name | LANE FIELDING SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 8871 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-5865
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Country | US
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Telephone | 702-838-2455
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Fax | 702-838-7055
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Provider Business Mailing Address
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Address Line | 8871 W SAHARA AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-5865
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Country | US
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Telephone | 702-838-2455
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Fax | 702-838-7055
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 274582-1205
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License Number State | UT
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