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General NPI Number Information
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NPI Number | 1073376257
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Entity Type | Organization
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Legal Business Name | SMART CHOICE HEALTHCARE LLC
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 2406 FERRAND STREET SUITE 19
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-738-8073
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Fax |
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Provider Business Mailing Address
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Address Line | 711 STUBBS VINSON RD
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City | MONROE
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State | LA
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Zip | 71203
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Country | US
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Telephone | 318-791-0359
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA D SMART
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Credential | DNP, APRN, FNP-C
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Telephone | 318-791-0359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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