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General NPI Number Information
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NPI Number | 1225651425
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Entity Type | Individual
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Provider Name | CHELSIE K SMYTH PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3801 AVALON PARK EAST BLVD STE 200
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City | ORLANDO
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State | FL
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Zip | 32828-4902
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Country | US
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Telephone | 321-461-3202
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Fax | 321-204-6855
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Provider Business Mailing Address
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Address Line | 3801 AVALON PARK EAST BLVD STE 200
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City | ORLANDO
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State | FL
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Zip | 32828-4902
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Country | US
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Telephone | 321-461-3202
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Fax | 321-204-6855
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY11674
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License Number State | FL
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