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General NPI Number Information
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NPI Number | 1285630434
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Entity Type | Individual
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Provider Name | BRIAN ALBERT SMITH D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 12746 PARKBURY DRIVE
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City | ORLANDO
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State | FL
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Zip | 32828
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Country | US
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Telephone | 407-457-2800
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Fax | 518-684-8526
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Provider Business Mailing Address
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Address Line | 12746 PARKBURY DRIVE
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City | ORLANDO
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State | FL
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Zip | 32828
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Country | US
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Telephone | 407-457-2800
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Fax | 518-684-8526
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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 | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | DC18647
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License Number State | CA
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