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General NPI Number Information
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NPI Number | 1942525118
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Entity Type | Individual
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Provider Name | ROBERT MARTIN SMITH RPH
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Gender | Male
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 25462 AL HIGHWAY 127
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City | ELKMONT
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State | AL
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Zip | 35620-6608
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Country | US
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Telephone | 256-732-4565
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Fax | 256-732-4988
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Provider Business Mailing Address
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Address Line | PO BOX 277
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City | ELKMONT
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State | AL
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Zip | 35620-0277
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Country | US
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Telephone | 256-732-4565
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Fax | 256-732-4988
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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 | 9556
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License Number State | AL
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