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General NPI Number Information
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NPI Number | 1063961639
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Entity Type | Organization
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Legal Business Name | EDWARD N. SMOLAR, MD PA
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 3075 E COMMERCIAL BLVD SUITE 1A
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4318
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Country | US
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Telephone | 954-491-6200
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Fax | 954-491-6419
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Provider Business Mailing Address
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Address Line | 3075 E COMMERCIAL BLVD SUITE 1A
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4318
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Country | US
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Telephone | 954-491-6200
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Fax | 954-491-6419
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD SMOLAR
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Credential | MD
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Telephone | 954-491-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME16517
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License Number State | FL
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