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General NPI Number Information
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NPI Number | 1154253953
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Entity Type | Individual
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Provider Name | LAURA SMITH
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 528 WESTVIEW DR
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City | LANCASTER
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State | OH
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Zip | 43130-2879
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Country | US
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Telephone | 740-438-7003
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1156
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Country | US
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Telephone | 614-705-2767
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN431721
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License Number State | OH
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