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General NPI Number Information
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NPI Number | 1952426751
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Entity Type | Individual
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Provider Name | JOEL E SMOOKE D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 1154 GREENFIELD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15217-2958
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Country | US
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Telephone | 412-422-4321
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Fax | 412-422-2896
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Provider Business Mailing Address
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Address Line | 4316 SALINE ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-2912
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Country | US
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Telephone | 412-422-9369
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Fax | 412-422-2896
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC-004209-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-004209-L
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License Number State | PA
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