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General NPI Number Information
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NPI Number | 1477490340
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Entity Type | Individual
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Provider Name | TONJA ANN SMITH RN
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 680 JACK GIBBS BLVD
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City | COLUMBUS
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State | OH
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Zip | 43215-1708
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Country | US
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Telephone | 614-365-5558
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Fax | 614-365-4045
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Provider Business Mailing Address
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Address Line | 845 LYDIE CT
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City | COLUMBUS
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State | OH
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Zip | 43085-5353
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Country | US
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Telephone | 614-378-9016
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 229422
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License Number State | OH
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