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General NPI Number Information
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NPI Number | 1679383582
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Entity Type | Organization
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Legal Business Name | SMOMEDICAL LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 39 SYCAMORE AVE # A202
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1208
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Country | US
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Telephone | 732-977-0941
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Fax | 888-498-3095
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Provider Business Mailing Address
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Address Line | 86 HANCE RD
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City | FAIR HAVEN
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State | NJ
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Zip | 07704-3210
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Country | US
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Telephone | 917-656-7079
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADI SMOLINSKY
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Credential | MD
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Telephone | 917-656-7079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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