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NPI 1194788547

NPI 1194788547 : JANET LEE SMITH PA : FRANKLIN, WV

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General NPI Number Information
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    NPI Number           |    1194788547
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    Entity Type          |    Individual 
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    Provider Name        |    JANET LEE SMITH PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/07/2006
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    Last Update Date     |    05/08/2025
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Provider Practice Location Address
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    Address Line         |    82 PINE ST 
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    City                 |    FRANKLIN
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    State                |    WV
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    Zip                  |    26807-6630
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    Country              |    US
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    Telephone            |    304-358-2355
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    Fax                  |    855-332-1388
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Provider Business Mailing Address
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    Address Line         |    PO BOX 100 
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    City                 |    FRANKLIN
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    State                |    WV
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    Zip                  |    26807-0100
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    Country              |    US
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    Telephone            |    304-358-2355
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    102993
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    0110005314
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    License Number State |    VA
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