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General NPI Number Information
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NPI Number | 1538478698
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Entity Type | Individual
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Provider Name | CARRISSA M SMITH FSD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 8 WATER ST
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City | FREWSBURG
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State | NY
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Zip | 14738-9703
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Country | US
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Telephone | 716-338-8391
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | FREWSBURG
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State | NY
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Zip | 14738-0369
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Country | US
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Telephone | 716-338-8391
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | NY
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