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General NPI Number Information
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NPI Number | 1265288567
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Entity Type | Organization
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Legal Business Name | SHARON SMITH
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 6 N PEAK RD
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5545
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Country | US
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Telephone | 512-431-7112
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Fax |
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Provider Business Mailing Address
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Address Line | 6 N PEAK RD
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5545
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Country | US
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Telephone | 512-431-7112
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MS. SHARON SMITH
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Credential | PMHNP/FNP-BC
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Telephone | 512-431-7112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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