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General NPI Number Information
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NPI Number | 1043477607
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Entity Type | Individual
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Provider Name | LYNNE C SMITH ANP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 90 LIBBEY INDUSTRIAL PKWY
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City | WEYMOUTH
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State | MA
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Zip | 02189-3129
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Country | US
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Telephone | 781-682-5900
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Fax | 781-331-1763
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Provider Business Mailing Address
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Address Line | 75 WASHINGTON STREET SSMC
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City | NORWELL
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State | MA
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Zip | 02061
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Country | US
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Telephone | 781-878-5200
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 103228
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License Number State | MA
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