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General NPI Number Information
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NPI Number | 1376545699
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Entity Type | Individual
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Provider Name | CHERYL SMITH MD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 114 WOODLAND ST INFECTIOUS DISEASE
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City | HARTFORD
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State | CT
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Zip | 06105-1208
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Country | US
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Telephone | 860-714-4903
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Fax | 860-714-8099
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Provider Business Mailing Address
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Address Line | 1000 ASYLUM AVE STE 4309
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City | HARTFORD
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State | CT
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Zip | 06105-1770
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Country | US
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Telephone | 860-714-6581
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Fax | 860-714-8311
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 025786
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License Number State | CT
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