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General NPI Number Information
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NPI Number | 1174844732
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Entity Type | Organization
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Legal Business Name | MICHAEL E SMITH DPM PA
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 1118 S ORANGE AVE SUITE 103
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City | ORLANDO
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State | FL
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Zip | 32806-1200
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Country | US
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Telephone | 407-244-8559
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 COMMON WAY RD
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City | ORLANDO
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State | FL
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Zip | 32814-6335
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Country | US
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Telephone | 407-376-4401
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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 E. SMITH
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Credential | DPM
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Telephone | 407-376-4401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO2033
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License Number State | FL
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