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General NPI Number Information
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NPI Number | 1639205206
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Entity Type | Individual
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Provider Name | PAUL JEFFERY SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1100 GRAMPIAN BLVD
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-1907
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Country | US
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Telephone | 570-320-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 GRAMPIAN BLVD
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-1900
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Country | US
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Telephone | 888-647-9600
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD492254
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD-5955
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License Number State | HI
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