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General NPI Number Information
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NPI Number | 1619909009
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Entity Type | Individual
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Provider Name | STACY M SMALLEY CNM MSN
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 7001 ROGERS AVE STE 403
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City | FORT SMITH
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State | AR
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Zip | 72903-4034
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Country | US
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Telephone | 479-785-2229
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Fax | 479-478-6745
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Provider Business Mailing Address
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Address Line | 7001 ROGERS AVE STE 403
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City | FORT SMITH
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State | AR
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Zip | 72903-4034
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Country | US
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Telephone | 479-785-2229
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Fax | 845-353-1987
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | F001316-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | M002126
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | LNM000261
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | M002126
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License Number State | AR
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