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General NPI Number Information
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NPI Number | 1063652972
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Entity Type | Individual
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Provider Name | KRISTEN LYNN SMYERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 10175 NIAGARA FALLS BLVD STE 1
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-2941
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Country | US
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Telephone | 716-205-0170
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Fax | 716-298-0956
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Provider Business Mailing Address
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Address Line | 136 MAPLE RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2922
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Country | US
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Telephone | 716-815-2400
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Fax | 716-242-0094
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 260229
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License Number State | NY
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