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General NPI Number Information
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NPI Number | 1043626757
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Entity Type | Individual
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Provider Name | BETTY RICHELLE SMART N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 1900 S MORRISON BLVD
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City | HAMMOND
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State | LA
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Zip | 70403-5742
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Country | US
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Telephone | 985-230-5726
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Fax | 985-230-5691
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Provider Business Mailing Address
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Address Line | PO BOX 3087
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City | HAMMOND
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State | LA
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Zip | 70404-3087
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Country | US
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Telephone | 985-370-7851
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Fax | 985-370-7409
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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 | AP07991
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07991
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License Number State | LA
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