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General NPI Number Information
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NPI Number | 1326667551
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Entity Type | Individual
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Provider Name | CAROL SMELTZ MD, PHD, MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 4403 MARKSTONE RIDGE LN
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City | ROSHARON
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State | TX
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Zip | 77583-1754
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Country | US
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Telephone | 979-661-7778
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Fax | 979-661-7779
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Provider Business Mailing Address
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Address Line | 3422 BUSINESS CENTER DR STE 106-1312
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City | PEARLAND
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State | TX
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Zip | 77584-4155
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Country | US
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Telephone | 979-661-7778
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Fax | 979-661-7779
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 32100475
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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