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General NPI Number Information
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NPI Number | 1194436642
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Entity Type | Individual
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Provider Name | INDIA Q SMITH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 7563 SE MARICAMP RD
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City | OCALA
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State | FL
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Zip | 34472-2112
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Country | US
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Telephone | 352-687-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 6329 SE BABB RD
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City | BELLEVIEW
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State | FL
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Zip | 34420-4280
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Country | US
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Telephone | 352-454-1861
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS52609
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License Number State | FL
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