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General NPI Number Information
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NPI Number | 1659433290
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Entity Type | Individual
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Provider Name | DEBORAH J. SMITH FNP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 34 MILLARD ST
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City | DUNDEE
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State | NY
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Zip | 14837-9777
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Country | US
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Telephone | 607-243-8059
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E MAIN ST APT. 5
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City | PENN YAN
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State | NY
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Zip | 14527-1603
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F331859
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License Number State | NY
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