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General NPI Number Information
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NPI Number | 1750374971
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Entity Type | Individual
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Provider Name | ROBERT LYNWOOD SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 100 DOCTOR'S DRIVE SUITE 201
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City | DOUGLAS
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State | GA
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Zip | 31533-2210
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Country | US
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Telephone | 912-383-7976
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Fax | 912-383-7974
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Provider Business Mailing Address
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Address Line | 1100 WARD STREET EXT W
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City | DOUGLAS
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State | GA
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Zip | 31533-1902
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Country | US
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Telephone | 912-384-1477
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Fax | 912-384-1470
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 31837
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License Number State | GA
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