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General NPI Number Information
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NPI Number | 1649194952
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Entity Type | Organization
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Legal Business Name | IRON PINE HEALTH A NURSING PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 805 MAIN ST STE L
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City | SUSANVILLE
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State | CA
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Zip | 96130-4457
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Country | US
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Telephone | 530-803-4766
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Fax | 530-803-4766
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Provider Business Mailing Address
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Address Line | 805 MAIN ST STE L
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City | SUSANVILLE
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State | CA
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Zip | 96130-4457
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Country | US
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Telephone | 530-803-4766
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Fax | 530-803-4766
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Authorized Official
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Title or Position | DNP, FNP-BC
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Name | MAISHA JEANETTE SMITH
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Credential | FNP-BC
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Telephone | 530-803-4766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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