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General NPI Number Information
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NPI Number | 1467012534
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Entity Type | Organization
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Legal Business Name | SMARTCHOICE HEALTH & WELLNESS CLINIC
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 9025 N SAM HOUSTON PKWY E STE 105
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City | HUMBLE
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State | TX
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Zip | 77396-4399
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Country | US
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Telephone | 832-230-9919
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Fax |
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Provider Business Mailing Address
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Address Line | 8706 BALIE LN
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City | HUMBLE
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State | TX
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Zip | 77338-2358
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Country | US
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Telephone | 832-230-9919
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NIKKI M SMART-SIMON
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Credential | FNP-C
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Telephone | 832-230-9919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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