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General NPI Number Information
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NPI Number | 1003794348
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Entity Type | Individual
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Provider Name | LINDSEY SMITH
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 215 W BRECKINRIDGE ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2219
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Country | US
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Telephone | 502-901-9664
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 BLACKISTON MILL RD UNIT 606
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City | CLARKSVILLE
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State | IN
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Zip | 47129-1386
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Country | US
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Telephone | 502-999-8760
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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