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General NPI Number Information
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NPI Number | 1992964365
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Entity Type | Individual
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Provider Name | LETICIA VILLELA SMITH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 1313 RED RIVER ST 217A
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City | AUSTIN
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State | TX
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Zip | 78701-1943
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Country | US
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Telephone | 512-324-7000
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Fax | 512-324-8498
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Provider Business Mailing Address
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Address Line | 601 E 15TH ST L201B
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City | AUSTIN
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State | TX
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Zip | 78701
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Country | US
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Telephone | 512-324-1000
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Fax | 512-324-8498
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 41800
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License Number State | TX
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