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NPI Code Detail

MEDICARE: DAWN SMITH RRT

MEDICARE: DAWN SMITH RRT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1227900000XRegistered Respiratory TherapistRT 13339FL
2227900000XRegistered Respiratory Therapist2005038197MO

General Provider Information

NPI Number : 1861811994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN SMITH RRT
Provider Business Mailing Address
First Line : 1 MORGAN LN
Second Line :
City : BOWLING GREEN
State : MO
Zip : 63334-2441
Country : US
Telephone Number : 573-629-7742
Fax Number :
Provider Business Practice Location Address
First Line : 156 HARVEY RD
Second Line :
City : LONDONDERRY
State : NH
Zip : 03053-7449
Country : US
Telephone Number : 800-657-6517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 04/16/2014

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