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General NPI Number Information
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NPI Number | 1649535147
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Entity Type | Organization
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Legal Business Name | CRAIG SMUCKER MD ORTHOPAEDICS PC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 1100 S BROOM ST
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City | WILMINGTON
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State | DE
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Zip | 19805-4585
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Country | US
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Telephone | 610-869-8995
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W BALTIMORE PIKE SUIE 102
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City | WEST GROVE
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State | PA
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Zip | 19390-9313
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Country | US
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Telephone | 302-656-5424
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG SMUCKER
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Credential | M.D.
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Telephone | 610-869-8995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | C1-00007034
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | C1-00007034
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C1-00007034
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License Number State | DE
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