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General NPI Number Information
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NPI Number | 1356755870
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Entity Type | Individual
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Provider Name | WHITNEY RENEE SMITH PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 14025 ROCKET BOYS DRIVE
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City | WAR
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State | WV
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Zip | 24892
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Country | US
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Telephone | 304-875-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 15535 HEART OF THE WOODS LN
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City | ABINGDON
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State | VA
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Zip | 24210-7895
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Country | US
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Telephone | 276-870-4964
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0008251
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202210855
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License Number State | VA
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