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General NPI Number Information
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NPI Number | 1114965530
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Entity Type | Organization
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Legal Business Name | ROBERT J. SMOLOSKI, M.D., P.A.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 609B DUTCHMANS LN
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City | EASTON
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State | MD
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Zip | 21601-3345
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Country | US
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Telephone | 410-770-8865
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Fax | 410-770-8869
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Provider Business Mailing Address
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Address Line | 609 DUTCHMANS LN STE B
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City | EASTON
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State | MD
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Zip | 21601-3348
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Country | US
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Telephone | 410-770-8865
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Fax | 410-770-8865
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT SMOLOSKI
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Credential | MD
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Telephone | 410-770-8865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0057859
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License Number State | MD
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