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General NPI Number Information
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NPI Number | 1104265909
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Entity Type | Individual
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Provider Name | NAKIA SMITH MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 100 NEWELL DR STE L3-100
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City | GAINESVILLE
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State | FL
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Zip | 32610
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Country | US
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Telephone | 352-273-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333
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City | CHARLESTON
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State | SC
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Zip | 29425-8905
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Country | US
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Telephone | 843-792-3222
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | LL35881
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License Number State | SC
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