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General NPI Number Information
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NPI Number | 1386734101
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES SMITH MD
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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 | 01/18/2022
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Provider Practice Location Address
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Address Line | 970 E WASHINGTON ST
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-721-5700
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Fax | 330-721-5287
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Provider Business Mailing Address
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Address Line | 30278 WOODLYN PL
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City | WESTLAKE
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State | OH
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Zip | 44145-5199
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Country | US
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Telephone | 610-246-8623
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Fax |
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD071027L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35.067757
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License Number State | OH
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