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General NPI Number Information
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NPI Number | 1679992259
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Entity Type | Individual
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Provider Name | AMORETTE B SMITH DC MS
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 1641 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14610-1604
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Country | US
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Telephone | 585-473-7746
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 WESTFALL RD
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City | ROCHESTER
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State | NY
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Zip | 14618-3118
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Country | US
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Telephone | 218-979-1595
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 012515
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License Number State | NY
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