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NPI 1639894561

NPI 1639894561 : ALISON LYNN SMITH CRNP : MANCHESTER, MD

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General NPI Number Information
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    NPI Number           |    1639894561
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    Entity Type          |    Individual 
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    Provider Name        |    ALISON LYNN SMITH CRNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/04/2022
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    Last Update Date     |    03/21/2025
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Provider Practice Location Address
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    Address Line         |    2973 MANCHESTER RD 
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    City                 |    MANCHESTER
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    State                |    MD
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    Zip                  |    21102-1802
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    Country              |    US
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    Telephone            |    410-374-4747
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    601 MEMORY LN 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17402-2231
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    Country              |    US
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    Telephone            |    717-851-1405
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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        |    163WG0000X
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    Taxonomy Name        |    General Practice Registered Nurse
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    License Number       |    R248459
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    SP031582
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    R248459
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    License Number State |    MD
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