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General NPI Number Information
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NPI Number | 1467637660
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Entity Type | Organization
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Legal Business Name | CHAD SMOKER MD PC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 88 HOSPITAL DR
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City | SPRUCE PINE
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State | NC
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Zip | 28777-8943
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Country | US
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Telephone | 828-765-6101
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Fax |
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Provider Business Mailing Address
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Address Line | 88 HOSPITAL DR
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City | SPRUCE PINE
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State | NC
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Zip | 28777-8943
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Country | US
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Telephone | 828-765-6101
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHAD SMOKER
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Credential | MD
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Telephone | 828-765-6101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200300530
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License Number State | NC
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