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General NPI Number Information
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NPI Number | 1477553238
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Entity Type | Individual
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Provider Name | JOAN SMITH
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Gender | Female
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 2150 PENNSYLVANIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20037-3201
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Country | US
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Telephone | 202-741-2160
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Fax | 202-741-2169
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Provider Business Mailing Address
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Address Line | 5215 LOUGHBORO RD NW STE 320
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City | WASHINGTON
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State | DC
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Zip | 20016-2626
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Country | US
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Telephone | 202-660-5555
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Fax | 202-660-6103
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN64422
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R123268
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP64422
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License Number State | DC
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