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General NPI Number Information
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NPI Number | 1356776678
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Entity Type | Individual
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Provider Name | ALITA-GERI KIANA SMITH CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 6 POST OFFICE RD STE. 102
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City | WALDORF
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State | MD
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Zip | 20602-2746
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Country | US
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Telephone | 301-374-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 6 POST OFFICE RD STE. 102
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City | WALDORF
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State | MD
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Zip | 20602-2746
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Country | US
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Telephone | 301-374-2666
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R186219
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License Number State | MD
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