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General NPI Number Information
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NPI Number | 1457447864
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Entity Type | Individual
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Provider Name | JOSEPH GIRO SMITH DPM
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 4620 BUNKER HILL LANE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462
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Country | US
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Telephone | 757-499-8098
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Fax | 757-499-8098
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Provider Business Mailing Address
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Address Line | 4620 BUNKER HILL LANE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462
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Country | US
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Telephone | 757-499-8098
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Fax | 757-499-8098
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103001054
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 213EP0504X
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Taxonomy Name | Public Medicine Podiatrist
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License Number | 0103001054
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 0103001054
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | 0103001054
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License Number State | VA
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