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General NPI Number Information
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NPI Number | 1275605958
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Entity Type | Organization
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Legal Business Name | THOMAS H. SMITH, DC PC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 490 W BROAD ST SUITE 500
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City | LINDEN
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State | MI
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Zip | 48451-8860
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Country | US
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Telephone | 810-735-9858
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Fax | 810-963-0484
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Provider Business Mailing Address
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Address Line | 2413 MOUNTAIN AVE
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City | FLINT
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State | MI
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Zip | 48503-2214
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Country | US
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Telephone | 810-962-9901
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS H. SMITH JR.
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Credential | D.C.
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Telephone | 810-735-9858
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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 | 2301007622
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License Number State | MI
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