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General NPI Number Information
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NPI Number | 1487048856
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Entity Type | Organization
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Legal Business Name | MATT E. SMITH CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 3303 ROUTE 9
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6230
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Country | US
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Telephone | 518-587-2064
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Fax |
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Provider Business Mailing Address
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Address Line | 3303 ROUTE 9
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6230
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Country | US
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Telephone | 518-587-2064
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MATT E SMITH
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Credential | DC
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Telephone | 518-587-2064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X0046181
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License Number State | NY
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