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General NPI Number Information
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NPI Number | 1235118555
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Entity Type | Individual
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Provider Name | ELIZABETH ANN SMOLSKY MSN, APN, C
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Gender | Female
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 12/23/2016
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Provider Practice Location Address
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Address Line | 103 OLD MARLTON PIKE SUITE 111
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City | MEDFORD
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State | NJ
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Zip | 08055-8772
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Country | US
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Telephone | 609-953-7111
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Fax | 609-953-1544
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Provider Business Mailing Address
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Address Line | 103 OLD MARLTON PIKE SUITE 111
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City | MEDFORD
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State | NJ
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Zip | 08055-8772
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Country | US
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Telephone | 609-953-7111
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Fax | 609-953-1544
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26NJ00026000
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License Number State | NJ
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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 | 26NJ00026000
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License Number State | NJ
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