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General NPI Number Information
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NPI Number | 1184207276
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Entity Type | Individual
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Provider Name | MADDISON K SMITH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 71050 VAN DYKE RD
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City | BRUCE TWP
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State | MI
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Zip | 48065-3898
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Country | US
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Telephone | 586-277-0244
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-4806
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4704326587NSA21098
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704326587
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License Number State | MI
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