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General NPI Number Information
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NPI Number | 1174792808
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Entity Type | Organization
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Legal Business Name | MICHAEL C. SMATT, D.C., PLLC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 33 HILL ST
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-5316
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Country | US
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Telephone | 631-283-9303
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Fax | 914-769-7555
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Provider Business Mailing Address
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Address Line | 37 BEDFORD RD
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-1021
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Country | US
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Telephone | 917-535-9338
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL C. SMATT
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Credential | D.C.
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Telephone | 917-535-9338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | XOO2875-1
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License Number State | NY
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