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General NPI Number Information
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NPI Number | 1346899812
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Entity Type | Individual
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Provider Name | ELIZABETH MARY SMITH NP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2019
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 500 HAHNEMANN TRL
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City | PITTSFORD
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State | NY
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Zip | 14534-2356
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Country | US
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Telephone | 585-586-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 SAINT PAUL BLVD
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City | ROCHESTER
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State | NY
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Zip | 14617-4515
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 344615
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F344615-01
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License Number State | NY
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