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General NPI Number Information
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NPI Number | 1689862070
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Entity Type | Organization
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Legal Business Name | ROBERT W SMITH, DC
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 3818 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85018-5235
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Country | US
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Telephone | 602-955-7810
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Fax | 602-956-8769
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Provider Business Mailing Address
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Address Line | 3818 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85018-5235
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Country | US
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Telephone | 602-955-7810
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Fax | 602-956-8769
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBER W SMITH
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Credential | D.C.
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Telephone | 602-955-7810
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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 | 0743
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License Number State | AZ
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