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General NPI Number Information
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NPI Number | 1225114127
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Entity Type | Individual
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Provider Name | JUDY ANNE SMITH ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 3450 E FLETCHER AVE STE 350
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City | TAMPA
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State | FL
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Zip | 33613-4699
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Country | US
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Telephone | 813-739-7495
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Fax | 850-435-8995
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Provider Business Mailing Address
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Address Line | 3200 CONVENTRY N
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City | SAFETY HARBOR
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State | FL
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Zip | 34695
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Country | US
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Telephone | 850-450-7255
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Fax | 850-435-8995
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2845602
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License Number State | FL
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