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General NPI Number Information
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NPI Number | 1508323619
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Entity Type | Organization
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Legal Business Name | RONALD G SMITH, DC, PLLC
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 1250 S MAIN ST STE 1A
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City | CHELSEA
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State | MI
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Zip | 48118-1453
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Country | US
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Telephone | 734-433-9000
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Fax | 734-433-9009
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Provider Business Mailing Address
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Address Line | 1250 S MAIN ST STE 1A
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City | CHELSEA
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State | MI
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Zip | 48118-1453
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Country | US
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Telephone | 734-433-9000
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Fax | 734-433-9009
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Authorized Official
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Title or Position | OWNER
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Name | DR. RON G SMITH
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Credential | DC
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Telephone | 734-433-9000
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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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