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General NPI Number Information
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NPI Number | 1326138207
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Entity Type | Individual
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Provider Name | ROBERT WAYNE SMITH D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 3818 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85018-5235
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Country | US
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Telephone | 602-955-7810
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Fax |
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Provider Business Mailing Address
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Address Line | 3818 E. INDIAN SCHOOL RD.
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City | PHOENIX
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State | AZ
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Zip | 85018-5235
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Country | US
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Telephone | 602-955-7810
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Fax | 602-956-8769
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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 | 0743
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License Number State | AZ
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