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General NPI Number Information
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NPI Number | 1730262759
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Entity Type | Organization
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Legal Business Name | ROBERT S. SMITH MD, INC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 11390 OLD ROSWELL RD STE 100
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City | ALPHARETTA
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State | GA
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Zip | 30009-2058
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Country | US
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Telephone | 770-817-0920
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Fax | 866-240-2442
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Provider Business Mailing Address
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Address Line | 11390 OLD ROSWELL RD STE 100
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City | ALPHARETTA
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State | GA
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Zip | 30009-2058
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Country | US
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Telephone | 888-581-1201
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Fax | 866-240-2442
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Authorized Official
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Title or Position | DIRECTOR OF LABORATORY
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Name | LAURA ELLEN MICHAEL
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Credential | D.O.
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Telephone | 888-581-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 044-141
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 019473
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License Number State | GA
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