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General NPI Number Information
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NPI Number | 1750419834
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Entity Type | Individual
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Provider Name | DARRYL AARON SMITH OD
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2300 N SALISBURY BLVD SUITE # K119
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City | SALISBURY
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State | MD
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Zip | 21801-7810
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Country | US
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Telephone | 410-334-3698
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Fax | 443-260-1776
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Provider Business Mailing Address
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Address Line | 2300 N SALISBURY BLVD SUITE # K119
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City | SALISBURY
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State | MD
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Zip | 21801-7810
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Country | US
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Telephone | 410-334-3698
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Fax | 443-260-1776
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA1037
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License Number State | MD
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