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General NPI Number Information
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NPI Number | 1912276106
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Entity Type | Individual
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Provider Name | ISAAK SMITH PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 1350 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6608
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Country | US
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Telephone | 330-841-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 3393 TIMBER LN
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City | HERMITAGE
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State | PA
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Zip | 16148-6037
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS47635
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License Number State | FL
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