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General NPI Number Information
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NPI Number | 1770704264
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Entity Type | Organization
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Legal Business Name | DONNA L. SMOLINSKI, D.M.D., P.A.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 970 KINGS HWY UNIT 3
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-4213
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Country | US
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Telephone | 941-766-9156
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Fax | 941-766-9260
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Provider Business Mailing Address
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Address Line | 970 KINGS HWY UNIT 3
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-4213
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Country | US
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Telephone | 941-766-9156
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Fax | 941-766-9260
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DONNA LYNN SMOLINSKI
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Credential | D.M.D.
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Telephone | 941-766-9156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13867
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License Number State | FL
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