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General NPI Number Information
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NPI Number | 1902188832
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Entity Type | Individual
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Provider Name | DELMAR J SMITH PA
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Gender | Male
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 2900 WHIPPLE AVE STE 132
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City | REDWOOD CITY
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State | CA
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Zip | 94062
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Country | US
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Telephone | 650-306-1016
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Fax | 650-369-3627
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Provider Business Mailing Address
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Address Line | 1197 CLINTON ST
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City | REDWOOD CITY
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State | CA
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Zip | 94061-2236
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Country | US
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Telephone | 917-698-1017
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 23 014300
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License Number State | NY
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