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General NPI Number Information
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NPI Number | 1417660275
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Entity Type | Individual
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Provider Name | CRYSTAL N SMITH ADN RN
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Gender | Female
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2509 W SYLVANIA AVE STE 14
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City | TOLEDO
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State | OH
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Zip | 43613-4397
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Country | US
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Telephone | 419-737-8164
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Fax | 419-737-8165
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Provider Business Mailing Address
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Address Line | 2509 W SYLVANIA AVE STE 14
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City | TOLEDO
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State | OH
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Zip | 43613-4397
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Country | US
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Telephone | 419-737-8164
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Fax | 419-737-8165
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | RN493774
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN493774
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN.493774
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | RN493774
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License Number State | OH
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