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General NPI Number Information
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NPI Number | 1255327037
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Entity Type | Individual
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Provider Name | SHIRLEY SMEARMAN CHARETTE PA
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Gender | Female
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 340 OXFORD ST STE 222
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City | DOVER
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State | OH
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Zip | 44622-1965
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Country | US
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Telephone | 330-440-0715
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19305
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City | CHARLOTTE
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State | NC
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Zip | 28219-9305
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50-001743RX
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-08489
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License Number State | NC
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