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General NPI Number Information
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NPI Number | 1174528145
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Entity Type | Individual
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Provider Name | THOMAS V SMALLMAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 3 CHESTNUT CIR
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City | SKANEATELES
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State | NY
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Zip | 13152
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Country | US
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Telephone | 315-415-0612
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Fax | 315-554-8185
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Provider Business Mailing Address
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Address Line | 3 CHESTNUT CIR
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City | SKANEATELES
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State | NY
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Zip | 13152-1301
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Country | US
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Telephone | 315-415-0612
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Fax | 315-554-8185
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 216518-1
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 216518
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License Number State | NY
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