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General NPI Number Information
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NPI Number | 1417722166
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Entity Type | Individual
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Provider Name | CHLOE SMIT LMSW, CSW-INTERN
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Gender | Female
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 4341 MATINEE AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0408
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Country | US
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Telephone | 702-592-1896
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Fax |
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Provider Business Mailing Address
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Address Line | 4341 MATINEE AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0408
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Country | US
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Telephone | 702-592-1896
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | IC-2581
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License Number State | NV
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