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General NPI Number Information
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NPI Number | 1144339649
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Entity Type | Organization
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Legal Business Name | MEDSMITH MEDICAL PC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 241 PARRISH ST SUITE B
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1727
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Country | US
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Telephone | 585-394-8170
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Fax | 585-394-8173
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Provider Business Mailing Address
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Address Line | 241 PARRISH ST SUITE B
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1727
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Country | US
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Telephone | 585-394-8170
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Fax | 585-394-8173
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT L. SMITH
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Credential | M.D.
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Telephone | 585-394-8170
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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 | 224291
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License Number State | NY
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