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General NPI Number Information
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NPI Number | 1548310956
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Entity Type | Individual
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Provider Name | ANJORAY SMITH MPT
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 420 W LINFIELD TRAPPE RD BLDG A SUITE 2000
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City | LIMERICK
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State | PA
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Zip | 19468-4278
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Country | US
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Telephone | 610-495-0095
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-778-8384
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT-008539-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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