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NPI Code Detail

MEDICARE: SHARON SMITH

MEDICARE:   SHARON  SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse679104NY

General Provider Information

NPI Number : 1285051102
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON SMITH
Provider Business Mailing Address
First Line : 17 OXFORD SPRINGS RD
Second Line :
City : CHESTER
State : NY
Zip : 10918-4225
Country : US
Telephone Number : 843-870-1824
Fax Number :
Provider Business Practice Location Address
First Line : 17 OXFORD SPRINGS RD
Second Line :
City : CHESTER
State : NY
Zip : 10918-4225
Country : US
Telephone Number : 843-870-1824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2014
Last Update Date : 03/28/2014

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Directions to “ SHARON SMITH ” Practice Location

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