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General NPI Number Information
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NPI Number | 1881693760
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Entity Type | Individual
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Provider Name | DAVID MICHAEL SMITH RPH
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 155 MAIN ST C/O MEANS-LAUF SUPER DRUG
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City | BROOKVILLE
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State | PA
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Zip | 15825-1281
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Country | US
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Telephone | 814-849-7504
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Fax | 814-849-6332
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Provider Business Mailing Address
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Address Line | 19 ERICA DR
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City | INDIANA
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State | PA
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Zip | 15701-8940
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Country | US
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Telephone | 724-349-3168
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Fax | 814-849-6332
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP029174L
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License Number State | PA
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