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General NPI Number Information
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NPI Number | 1255403671
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Entity Type | Individual
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Provider Name | ROBERT L SMITH D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 23127 THREE NOTCH RD
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City | CALIFORNIA
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State | MD
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Zip | 20619-2402
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Country | US
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Telephone | 301-862-9187
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Fax | 301-862-3588
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Provider Business Mailing Address
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Address Line | 23127 THREE NOTCH RD
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City | CALIFORNIA
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State | MD
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Zip | 20619-2402
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Country | US
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Telephone | 301-862-9187
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Fax | 301-862-3588
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4927914-1202
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 03587
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License Number State | MD
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