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General NPI Number Information
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NPI Number | 1972882603
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Entity Type | Individual
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Provider Name | GREGORY DOUGLAS SMITH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 6580 SNOWDRIFT RD SUITE 100
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City | ALLENTOWN
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State | PA
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Zip | 18106-9331
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Country | US
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Telephone | 610-395-5170
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Fax | 610-395-5178
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Provider Business Mailing Address
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Address Line | 1420 WEST NEWLINS RD
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City | FORKS TOWNSHIP
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State | PA
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Zip | 18040-7631
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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 | RP444042
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License Number State | PA
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