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General NPI Number Information
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NPI Number | 1588600852
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Entity Type | Individual
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Provider Name | NORMAN JOE SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 310 HOSPITAL DR SUITE 210
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City | MACON
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State | GA
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Zip | 31217-3895
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Country | US
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Telephone | 478-746-1879
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Fax | 478-743-7588
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Provider Business Mailing Address
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Address Line | 310 HOSPITAL DR SUITE 210
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City | MACON
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State | GA
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Zip | 31217-3895
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Country | US
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Telephone | 478-746-1879
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Fax | 478-743-7588
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 014568
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License Number State | GA
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