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General NPI Number Information
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NPI Number | 1992971634
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Entity Type | Individual
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Provider Name | DAVID MATTHEW SMITH DO, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 6TH MEDICAL GROUP 3250 ZEMKE AVENUE
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City | MACDILL AFB
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State | FL
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Zip | 33621
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Country | US
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Telephone | 813-827-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 6TH MEDICAL GROUP 3250 ZEMKE AVENUE
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City | MACDILL AFB
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State | FL
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Zip | 33621
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Country | US
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Telephone | 813-827-9899
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS10463
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | UO1747
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | OS10463
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License Number State | FL
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