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General NPI Number Information
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NPI Number | 1699115899
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Entity Type | Individual
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Provider Name | MICHELLE MAUREEN SMITH PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 774 CHRISTIANA RD STE 201
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City | NEWARK
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State | DE
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Zip | 19713-4221
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Country | US
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Telephone | 302-366-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 405 COMMONWEALTH DR
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City | LINCOLN UNIVERSITY
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State | PA
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Zip | 19352-0406
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Country | US
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Telephone | 844-883-0071
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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