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General NPI Number Information
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NPI Number | 1720597693
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Entity Type | Organization
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Legal Business Name | CHRISTINA L SMITH DNP ARNP NP-C LLC
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Dates
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Enumeration Date | 09/23/2017
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 2015 SAINT GEORGE DR
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City | BRADENTON
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State | FL
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Zip | 34208-1539
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Country | US
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Telephone | 941-720-6985
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Fax | 574-990-4411
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Provider Business Mailing Address
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Address Line | 4301 32ND ST W STE C2
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City | BRADENTON
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State | FL
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Zip | 34205-2748
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Country | US
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Telephone | 941-713-2429
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINA LYNN SMITH
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Credential | DNP APRN
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Telephone | 941-720-6985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | ARNP3254462
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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