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General NPI Number Information
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NPI Number | 1316903453
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Entity Type | Individual
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Provider Name | ANGEL MARIE SMITH APRN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 14355 MIRANDA WAY
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-2032
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Country | US
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Telephone | 888-731-8994
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Fax | 888-775-1861
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Provider Business Mailing Address
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Address Line | 1611 MYRTLE DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-6301
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Country | US
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Telephone | 214-402-7922
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP106859
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License Number State | TX
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