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General NPI Number Information
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NPI Number | 1437295888
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Entity Type | Individual
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Provider Name | MS. WHYSENA UMECKIA SMITH
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2480 LLWELLYN AVENUE
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City | FT. MEADE
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State | MD
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Zip | 20755
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Country | US
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Telephone | 301-677-8817
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Fax | 301-677-8485
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Provider Business Mailing Address
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Address Line | 719 HYDE PARK DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061
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Country | US
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Telephone | 443-889-8633
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Fax | 301-677-8817
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | A00061501
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License Number State | MD
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