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General NPI Number Information
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NPI Number | 1194003707
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Entity Type | Individual
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Provider Name | PATRICIA ANNE SMITH ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2011
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 3902 HOMESTEAD COURT
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208
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Country | US
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Telephone | 913-526-9003
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Fax | 913-262-1638
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Provider Business Mailing Address
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Address Line | 3902 HOMESTEAD COURT
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208
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Country | US
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Telephone | 913-526-9003
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Fax | 913-262-1638
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4468
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 5375113021
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 53-75113-021
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-75113-021
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License Number State | KS
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