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General NPI Number Information
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NPI Number | 1033465422
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Entity Type | Individual
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Provider Name | LORI M SMITH APRN,FNP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 2215 VETERANS MEMORIAL BLVD
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City | METAIRIE
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State | LA
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Zip | 70002-6322
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Country | US
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Telephone | 504-838-3524
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Fax | 504-828-6115
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Provider Business Mailing Address
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Address Line | 2215 VETERANS MEMORIAL BLVD
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City | METAIRIE
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State | LA
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Zip | 70002-6322
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Country | US
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Telephone | 504-838-3524
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Fax | 504-828-6115
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP06604
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License Number State | LA
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