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General NPI Number Information
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NPI Number | 1669679387
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Entity Type | Individual
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Provider Name | JESSICA BROOKS SMITH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | PO BOX 71
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City | NESPELEM
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State | WA
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Zip | 99155-0071
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Country | US
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Telephone | 509-634-2914
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Fax |
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Provider Business Mailing Address
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Address Line | 302 STEVENS AVE
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City | COULEE DAM
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State | WA
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Zip | 99116-1425
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Country | US
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Telephone | 509-431-4953
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH00069659
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PH00069659
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License Number State | WA
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