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General NPI Number Information
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NPI Number | 1710502950
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Entity Type | Individual
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Provider Name | BRITTANY CHERIE SMITH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2020
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Last Update Date | 06/13/2020
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Provider Practice Location Address
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Address Line | 655 W 8TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-703-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 STATE ROAD 21
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City | KEYSTONE HEIGHTS
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State | FL
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Zip | 32656-6924
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Country | US
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Telephone | 904-703-7616
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11007443
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License Number State | FL
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