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General NPI Number Information
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NPI Number | 1336688712
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Entity Type | Organization
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Legal Business Name | SMEDLEY ORTHODONTICS LTD
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 797-D EAST LANCASTER AVENUE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3315
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Country | US
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Telephone | 610-269-6065
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Fax |
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Provider Business Mailing Address
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Address Line | 797 E LANCASTER AVE # D
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3315
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Country | US
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Telephone | 610-269-6065
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Fax | 610-269-3578
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY C SMEDLEY
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Credential |
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Telephone | 610-269-6065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS017920
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License Number State | PA
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