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General NPI Number Information
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NPI Number | 1881643146
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Entity Type | Organization
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Legal Business Name | DR SCOTT SMITH LLC
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 2116 SHEFFIELD RD
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City | ALIQUIPPA
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State | PA
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Zip | 15001-2732
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Country | US
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Telephone | 724-378-2880
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Fax | 724-378-0450
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Provider Business Mailing Address
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Address Line | 2116 SHEFFIELD RD
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City | ALIQUIPPA
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State | PA
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Zip | 15001-2732
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Country | US
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Telephone | 724-378-2880
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Fax | 724-378-0450
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | SCOTT GALEN SMITH
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Credential |
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Telephone | 724-378-2880
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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 | OEG001092
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License Number State | PA
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