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General NPI Number Information
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NPI Number | 1598624272
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Entity Type | Individual
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Provider Name | AMBER MICHELLE SMITH RT(R)(MR)
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 9953 WORMAN DR
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City | KING GEORGE
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State | VA
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Zip | 22485-7558
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Country | US
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Telephone | 571-358-4093
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 835
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City | WALDORF
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State | MD
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Zip | 20604-0835
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Country | US
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Telephone | 571-358-4093
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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 | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | R0014063
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 0120013063
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License Number State | VA
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