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General NPI Number Information
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NPI Number | 1609724186
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Entity Type | Individual
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Provider Name | CHRISTINA ASHLEY SMITH RN
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 4460 ERIN DR
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City | EAGAN
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State | MN
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Zip | 55122-2357
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Country | US
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Telephone | 651-261-2314
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Fax |
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Provider Business Mailing Address
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Address Line | 8715 JODY CIR S
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-3748
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Country | US
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Telephone | 651-260-3939
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1986945
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License Number State | MN
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