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General NPI Number Information
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NPI Number | 1396890018
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Entity Type | Individual
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Provider Name | CHRISTOPHER R SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 1711 LIVINGSTON ROAD
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City | FORT WASHINGTON
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State | MD
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Zip | 20744
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Country | US
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Telephone | 301-317-0020
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Fax | 301-317-0028
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | LAUREL
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State | MD
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Zip | 20725
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Country | US
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Telephone | 301-317-0020
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Fax | 301-317-0028
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D22646
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License Number State | MD
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