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General NPI Number Information
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NPI Number | 1063213601
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Entity Type | Organization
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Legal Business Name | SMART PSYCHIATRIC SERVICES PLLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 388 E MAIN ST STE 22L
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City | BRANFORD
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State | CT
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Zip | 06405-2914
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Country | US
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Telephone | 475-414-1772
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Fax | 814-298-5414
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Provider Business Mailing Address
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Address Line | 388 E MAIN ST STE 22L
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City | BRANFORD
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State | CT
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Zip | 06405-2914
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Country | US
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Telephone | 475-414-1772
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Fax | 814-298-5414
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Authorized Official
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Title or Position | OWNER
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Name | DANA SMART
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Credential | APRN
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Telephone | 475-414-1772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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