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General NPI Number Information
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NPI Number | 1235908922
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Entity Type | Individual
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Provider Name | PATRICK LLOYD SMITH BCHHP
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Gender | Male
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 2139 AUSTIN AVE
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3668
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Country | US
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Telephone | 248-622-4141
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Fax | 248-313-4703
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Provider Business Mailing Address
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Address Line | 32475 W 11 MILE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-1001
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Country | US
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Telephone | 248-794-7135
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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Taxonomy #5
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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