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General NPI Number Information
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NPI Number | 1275970626
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Entity Type | Individual
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Provider Name | MR. DARWIN L SMITH
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Gender | Male
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 18416 GRAND RIVER AVE
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City | DETROIT
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State | MI
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Zip | 48223-2317
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Country | US
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Telephone | 313-397-2575
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Fax | 313-397-7572
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Provider Business Mailing Address
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Address Line | 5080 SUMMERFIELD DR
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City | NORTON SHORES
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State | MI
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Zip | 49441-5798
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Country | US
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Telephone | 231-578-4463
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302026293
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License Number State | MI
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