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General NPI Number Information
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NPI Number | 1508195090
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Entity Type | Organization
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Legal Business Name | THOMAS G. SMITH, D.C., PLC
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 29856 SCHOENHERR RD. STE 2
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City | WARREN
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State | MI
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Zip | 48088
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Country | US
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Telephone | 734-443-5000
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Fax | 734-552-5002
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Provider Business Mailing Address
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Address Line | 29856 SCHOENHERR RD. STE 2
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City | WARREN
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State | MI
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Zip | 48088
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Country | US
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Telephone | 734-443-5000
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Fax | 734-552-5002
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS GREGORY SMITH
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Credential | D.C.
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Telephone | 734-552-0246
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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 |
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License Number State |
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