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General NPI Number Information
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NPI Number | 1154820140
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Entity Type | Individual
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Provider Name | NATALIE SMITH APRN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 2401 UNIVERSITY PKWY STE 202
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City | SARASOTA
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State | FL
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Zip | 34243-2973
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Country | US
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Telephone | 941-360-2579
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Fax | 941-360-2580
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Provider Business Mailing Address
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Address Line | 3390 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8157
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Country | US
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Telephone | 239-215-2778
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Fax | 833-941-1231
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN9494435
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License Number State | FL
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