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General NPI Number Information
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NPI Number | 1952800336
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Entity Type | Individual
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Provider Name | ROBERT SMALLEY MD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 500 UNIVERSITY DR
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone | 717-531-4935
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Fax | 717-531-0336
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Provider Business Mailing Address
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Address Line | 3551 ROGER BROOKE DR
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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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 | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 1014360
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | MD481669
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | S3067
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License Number State | TX
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