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General NPI Number Information
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NPI Number | 1770930661
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Entity Type | Organization
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Legal Business Name | DAVID N. SMITH, M.D. PLLC
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 1225 JEFFERSON RD A07A
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City | ROCHESTER
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State | NY
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Zip | 14623-3163
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Country | US
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Telephone | 585-461-5330
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Fax | 585-461-9895
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Provider Business Mailing Address
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Address Line | 1225 JEFFERSON RD A07A
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City | ROCHESTER
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State | NY
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Zip | 14623-3163
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Country | US
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Telephone | 585-461-5330
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Fax | 585-461-9895
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID N. SMITH
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Credential | M.D.
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Telephone | 585-461-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 128352
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 128352
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License Number State | NY
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