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General NPI Number Information
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NPI Number | 1730560749
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Entity Type | Individual
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Provider Name | JANET LYNN SMITH STASIAK DNP, PMHNP-BC,FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 405 ALLEGHENY AVE
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City | TOWSON
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State | MD
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Zip | 21204-4256
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Country | US
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Telephone | 301-355-3860
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Fax | 410-844-0320
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Provider Business Mailing Address
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Address Line | PO BOX 20154
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City | COLUMBUS
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State | OH
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Zip | 43220-0154
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Country | US
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Telephone | 301-355-3860
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Fax | 410-844-0320
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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 | R240227
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R240227
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License Number State | MD
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