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General NPI Number Information
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NPI Number | 1255204087
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Entity Type | Individual
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Provider Name | REBECCA ANN SMITH APRN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 220 S LOLA LN
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City | PAHRUMP
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State | NV
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Zip | 89048-0835
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Country | US
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Telephone | 775-727-7535
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Fax |
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Provider Business Mailing Address
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Address Line | 5961 E VIA LIDO CT
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City | PAHRUMP
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State | NV
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Zip | 89061-7134
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Country | US
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Telephone | 801-717-8634
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 890645
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License Number State | NV
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