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General NPI Number Information
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NPI Number | 1043217813
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Entity Type | Individual
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Provider Name | MARK S SMESKO DPM
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 136 N MARKET ST
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City | EAST PALESTINE
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State | OH
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Zip | 44413-2019
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Country | US
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Telephone | 330-426-1828
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Fax | 330-426-1839
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Provider Business Mailing Address
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Address Line | PO BOX 378
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City | SANDUSKY
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State | OH
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Zip | 44871-0378
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Country | US
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Telephone | 419-626-6161
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Fax | 419-502-3511
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 353
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC-00-4569
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36-00-2979
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License Number State | OH
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