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General NPI Number Information
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NPI Number | 1295681484
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Entity Type | Individual
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Provider Name | SARAH BETH SMOOT CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 701 GROVE RD
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City | GREENVILLE
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State | SC
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Zip | 29605-4210
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Country | US
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Telephone | 864-695-6189
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Fax | 864-522-9585
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Provider Business Mailing Address
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Address Line | 2724 EMMONS AVE
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City | HUNTINGTON
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State | WV
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Zip | 25702-1126
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Country | US
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Telephone | 304-840-2919
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 106108
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License Number State | WV
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