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General NPI Number Information
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NPI Number | 1730208166
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Entity Type | Individual
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Provider Name | JOSHUA S. SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 6733 WEST MAPLE RD SUITE 114
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322
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Country | US
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Telephone | 248-661-6100
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Fax | 248-788-3177
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Provider Business Mailing Address
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Address Line | 6733 WEST MAPLE RD SUITE 114
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322
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Country | US
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Telephone | 248-661-6100
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Fax | 248-788-3177
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 4301088594
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301088594
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License Number State | MI
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