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General NPI Number Information
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NPI Number | 1821076548
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Entity Type | Individual
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Provider Name | ANDREW THOMAS SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 450 S WASHINGTON ST
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City | GETTYSBURG
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State | PA
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Zip | 17325-2500
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Country | US
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Telephone | 717-339-3110
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Fax |
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Provider Business Mailing Address
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Address Line | 525 IRON ST SUITE B
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City | LEHIGHTON
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State | PA
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Zip | 18235-1949
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Country | US
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Telephone | 610-826-5052
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Fax | 610-681-3468
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA06618600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD042636L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD042636L
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License Number State | PA
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