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General NPI Number Information
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NPI Number | 1134002140
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Entity Type | Individual
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Provider Name | REGAN SMITH
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 2701 SWISS AVENUE
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City | DALLAS
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State | TX
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Zip | 75204
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Country | US
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Telephone | 214-821-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 ROSWELL AVE APT H
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City | CHARLOTTE
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State | NC
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Zip | 28207-2752
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Country | US
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Telephone |
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 1210090
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 296739
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License Number State | NC
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