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General NPI Number Information
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NPI Number | 1154421873
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Entity Type | Individual
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Provider Name | JOSEPH C. SMIHULA NP
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Gender | Male
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 3555 ROUND BARN CIR
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City | SANTA ROSA
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State | CA
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Zip | 95403-1757
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Country | US
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Telephone | 707-528-1050
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Fax | 707-525-3874
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Provider Business Mailing Address
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Address Line | 407 W COUNTRY CLUB RD
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City | ROSWELL
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State | NM
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Zip | 88201-5209
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Country | US
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Telephone | 575-627-9110
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Fax | 575-623-2191
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 16859
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP699679
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License Number State | CA
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