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NPI Code Detail

MEDICARE: DEBRA SMITH

MEDICARE: DEBRA 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1821845843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA SMITH
Provider Business Mailing Address
First Line : 10538 DUPONT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-1348
Country : US
Telephone Number : 478-318-2977
Fax Number :
Provider Business Practice Location Address
First Line : 5 SEVERANCE CIR STE 201
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44118-1567
Country : US
Telephone Number : 478-318-2977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2024
Last Update Date : 05/06/2024

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Directions to “ DEBRA SMITH ” Practice Location

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