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General NPI Number Information
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NPI Number | 1952395352
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Entity Type | Individual
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Provider Name | MICHAEL L SMIT DO
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 730 MCKINLEY AVE NW
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City | CANTON
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State | OH
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Zip | 44703-3404
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Country | US
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Telephone | 330-458-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 6880 W SNOWVILLE RD STE 215
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City | BRECKSVILLE
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State | OH
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Zip | 44141-3254
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Country | US
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Telephone | 440-565-5050
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0733
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 0733
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 34.012627
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License Number State | OH
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