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Organization

AWAKEN OPTIMAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL M SMOLA DC (PARTNER)
(570) 489-4444
Entity
Organization

Contact information

Practice address
503 SUNSET DRIVE, DICKSON CITY, PA 18447-1323
(570) 489-4444
(570) 489-3333
Mailing address
503 SUNSET DRIVE, DICKSON CITY, PA 18447-1323
(570) 489-4444
(570) 489-3333

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-006471-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5755131
AETNA
PA
01
SM833642
MEDICARE
PA
Enumeration date
05/07/2018
Last updated
05/07/2018
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