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General NPI Number Information
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NPI Number | 1073558300
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Entity Type | Individual
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Provider Name | STEVEN JAY SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 5701 OVERSEAS HWY SUITE 8
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City | MARATHON
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State | FL
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Zip | 33050-2784
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Country | US
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Telephone | 305-743-3511
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Fax | 305-743-9576
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Provider Business Mailing Address
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Address Line | 3301 OVERSEAS HWY
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City | MARATHON
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State | FL
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Zip | 33050-2329
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Country | US
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Telephone | 305-289-6420
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Fax | 305-743-8684
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME34785
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME34785
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | ME34785
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME34785
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License Number State | FL
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