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General NPI Number Information
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NPI Number | 1013290089
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Entity Type | Individual
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Provider Name | CHERYL SMITH RN (BSN AND MSHEP);
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Gender | Female
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 01 HOME OFFICE
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City | TOWSON
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State | MD
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Zip | 21286
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Country | US
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Telephone | 301-938-8539
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Fax | 410-866-2507
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Provider Business Mailing Address
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Address Line | 1810 J YORK RD #383
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City | LUTHERVILLE
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State | MD
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Zip | 21093-5165
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Country | US
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Telephone | 301-938-8539
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Fax | 410-866-2507
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R165812
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License Number State | MD
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