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General NPI Number Information
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NPI Number | 1548805583
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Entity Type | Individual
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Provider Name | CYDNEY SMITH LPN
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Gender | Female
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 01/05/2020
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Provider Practice Location Address
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Address Line | 7943 BROCK BRIDGE RD
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City | JESSUP
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State | MD
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Zip | 20794-9704
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Country | US
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Telephone | 410-379-3880
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Fax |
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Provider Business Mailing Address
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Address Line | 6394 SMITHY SQ APT B
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City | GLEN BURNIE
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State | MD
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Zip | 21061-1289
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Country | US
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Telephone | 814-441-8088
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP35160
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License Number State | MD
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