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General NPI Number Information
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NPI Number | 1245949825
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Entity Type | Individual
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Provider Name | MRS. FELICIA SMITH
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Gender | Female
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 208 W BROADWAY ST
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City | FORREST CITY
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State | AR
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Zip | 72335-3619
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Country | US
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Telephone | 870-318-4878
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SHAWNEE
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City | WYNNE
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State | AR
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Zip | 72396-8172
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Country | US
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Telephone | 870-318-4878
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | AR
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