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General NPI Number Information
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NPI Number | 1407983893
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Entity Type | Individual
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Provider Name | CELESTE ELIZABETH SMITH
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 108 W MAIN STREET UNIT C
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City | THIBODAUX
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State | LA
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Zip | 70301
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Country | US
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Telephone | 985-447-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 108 W MAIN STREET UNIT C
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City | THIBODAUX
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State | LA
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Zip | 70301
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Country | US
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Telephone | 985-447-0095
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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 | 137082NP
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License Number State | GA
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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 | ARNP9326031
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07492
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN137082
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2020031543
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License Number State | MO
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