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General NPI Number Information
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NPI Number | 1295466803
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Entity Type | Individual
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Provider Name | SIDNEY SMITH RN
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1775 AURORA CT
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City | AURORA
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State | CO
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Zip | 80045-2536
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Country | US
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Telephone | 720-777-1234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN1057875
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN.1703587
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License Number State | CO
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