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General NPI Number Information
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NPI Number | 1326074758
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Entity Type | Organization
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Legal Business Name | PAULETTE A SMART MD PA
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 76 W UNDERWOOD ST, 2ND FLOOR
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City | ORLANDO
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State | FL
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Zip | 32806-1110
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Country | US
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Telephone | 321-558-4996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 561405
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City | ORLANDO
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State | FL
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Zip | 32856-1405
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Country | US
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Telephone | 321-558-4996
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAULETTE A SMART - MACKEY
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Credential | MD
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Telephone | 407-252-9161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME72680
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License Number State | FL
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