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General NPI Number Information
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NPI Number | 1679675995
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Entity Type | Individual
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Provider Name | CHRISTOPHER A. SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 2977 WESTINGHOUSE RD
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City | HORSEHEADS
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State | NY
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Zip | 14845-8120
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Country | US
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Telephone | 607-684-6115
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Fax | 607-662-4241
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Provider Business Mailing Address
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Address Line | 88 TIOGA AVE. SUITE 103
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City | CORNING
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State | NY
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Zip | 14845-2858
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Country | US
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Telephone | 607-684-6115
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Fax | 607-684-6120
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 205695
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License Number State | NY
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