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General NPI Number Information
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NPI Number | 1033813464
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Entity Type | Individual
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Provider Name | MELISSA SMITH
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Gender | Female
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 12071 FM 3522
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City | ABILENE
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State | TX
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Zip | 79601-8749
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Country | US
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Telephone | 806-787-7580
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Fax |
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Provider Business Mailing Address
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Address Line | 7950 COUNTY ROAD 258
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City | CLYDE
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State | TX
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Zip | 79510-5916
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Country | US
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Telephone | 210-788-8116
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1095884
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License Number State | TX
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