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General NPI Number Information
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NPI Number | 1356199665
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Entity Type | Individual
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Provider Name | JAMIE LYNN SMITH L.AC., NBC-HWC, LMT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2024
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 902 RAZORBACK DR STE 5
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City | HOUGHTON
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State | MI
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Zip | 49931-2802
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Country | US
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Telephone | 906-301-0046
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Fax | 833-470-3401
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Provider Business Mailing Address
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Address Line | 23276 SKANEE RD
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City | SKANEE
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State | MI
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Zip | 49962
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Country | US
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Telephone | 906-231-0369
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Fax | 833-740-3401
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 108
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-39220250
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501017001
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 5402000316
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License Number State | MI
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