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General NPI Number Information
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NPI Number | 1467159699
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Entity Type | Individual
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Provider Name | WINDY SMITH
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Gender | Female
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 8230 LEESBURG PIKE
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City | VIENNA
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State | VA
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Zip | 22182-2639
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Country | US
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Telephone | 856-340-9840
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Fax |
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Provider Business Mailing Address
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Address Line | 108 OTTER BRANCH DR APT 52
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City | MAGNOLIA
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State | NJ
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Zip | 08049-1562
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Country | US
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Telephone | 856-979-3651
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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