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General NPI Number Information
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NPI Number | 1578361143
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Entity Type | Individual
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Provider Name | PIERCE SMITH
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1060 W SIERRA AVE STE 104
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City | FRESNO
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State | CA
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Zip | 93711-2063
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Country | US
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Telephone | 559-437-1111
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Fax | 559-437-1118
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Provider Business Mailing Address
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Address Line | 1060 W SIERRA AVE STE 104
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City | FRESNO
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State | CA
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Zip | 93711-2063
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Country | US
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Telephone | 559-437-1111
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Fax | 559-437-1118
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95035939
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95186657
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License Number State | CA
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