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General NPI Number Information
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NPI Number | 1336467539
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Entity Type | Individual
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Provider Name | BELINDA LUCE SMITH WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 155 JEFFERSON ST 3RD FLOOR-NEWARK COMMUNITY HEALTH CENTERS, INC.
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City | NEWARK
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State | NJ
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Zip | 07105-1706
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Country | US
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Telephone | 973-465-2828
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Fax | 973-465-2862
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Provider Business Mailing Address
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Address Line | 275 LAFAYETTE AVE
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City | HAWTHORNE
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State | NJ
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Zip | 07506-1919
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Country | US
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Telephone | 865-789-2768
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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 | 26NJ00287600
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License Number State | NJ
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