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General NPI Number Information
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NPI Number | 1801067947
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Entity Type | Organization
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Legal Business Name | DR. ANDREW T. SMITH, DPM, DBA AUGUSTA FOOT AND ANKLE CENTER
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 26 EASTERN AVE
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City | AUGUSTA
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State | ME
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Zip | 04330-5722
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Country | US
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Telephone | 207-623-5100
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Fax | 208-621-1822
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Provider Business Mailing Address
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Address Line | 26 EASTERN AVE
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City | AUGUSTA
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State | ME
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Zip | 04330-5722
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Country | US
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Telephone | 207-623-5100
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Fax | 208-621-1822
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. ANDREW T SMITH
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Credential | DPM
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Telephone | 207-623-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD1036
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License Number State | ME
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