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General NPI Number Information
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NPI Number | 1235491275
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Entity Type | Individual
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Provider Name | MARTIN ADAM SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 25200 CHAGRIN BLVD STE 300
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City | BEACHWOOD
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State | OH
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Zip | 44122-5684
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Country | US
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Telephone | 216-383-2834
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Fax | 216-383-2923
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Provider Business Mailing Address
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Address Line | 25200 CHAGRIN BLVD STE 300
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City | BEACHWOOD
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State | OH
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Zip | 44122-5684
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Country | US
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Telephone | 216-383-2834
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Fax | 216-383-2923
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 35.125375
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.020641
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License Number State | OH
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