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General NPI Number Information
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NPI Number | 1497016711
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Entity Type | Individual
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Provider Name | ELIZABETH POINTER SMITH CNM
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Gender | Female
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 4415 SONOMA HWY STE B
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City | SANTA ROSA
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State | CA
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Zip | 95409-4165
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Country | US
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Telephone | 707-539-1544
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Fax |
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Provider Business Mailing Address
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Address Line | 1565 BRIARFIELD PL
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City | SANTA ROSA
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State | CA
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Zip | 95404-2055
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Country | US
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Telephone | 707-538-9349
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | NMW1382
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License Number State | CA
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