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General NPI Number Information
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NPI Number | 1194363093
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Entity Type | Individual
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Provider Name | MELISSA A SMITH APRN
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Gender | Female
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 2130 S ACADEMY BLVD STE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80916-2472
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Country | US
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Telephone | 719-455-8420
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Fax |
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Provider Business Mailing Address
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Address Line | 2130 S ACADEMY BLVD STE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80916-2472
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Country | US
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Telephone | 719-755-8420
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0003868
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License Number State | CO
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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 | 1004534
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License Number State | FL
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