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General NPI Number Information
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NPI Number | 1427109867
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Entity Type | Individual
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Provider Name | MARIE SMOLENSKI CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 2510 MARYLAND RD SUITE 160
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1109
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Country | US
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Telephone | 215-672-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 WINDSOR CT
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City | POTTSTOWN
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State | PA
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Zip | 19464-1802
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Country | US
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Telephone | 267-679-4515
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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 | SP008722
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License Number State | PA
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