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General NPI Number Information
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NPI Number | 1518123173
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Entity Type | Individual
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Provider Name | ELIZABETH DARLENE SMITH FNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 2590 NORTHBROOKE PLAZA DR STE 106
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City | NAPLES
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State | FL
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Zip | 34119-8100
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Country | US
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Telephone | 239-350-4900
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Fax | 833-902-3605
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Provider Business Mailing Address
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Address Line | 2590 NORTHBROOKE PLAZA DR STE 106
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City | NAPLES
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State | FL
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Zip | 34119-8100
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Country | US
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Telephone | 239-350-4900
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Fax | 833-902-3605
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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 | RN307089
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License Number State | OH
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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 | 9321441
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License Number State | FL
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