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General NPI Number Information
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NPI Number | 1740708643
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Entity Type | Individual
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Provider Name | REBECCA L SMITH LAC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 401 HEADQUARTERS DR STE 101
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City | MILLERSVILLE
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State | MD
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Zip | 21108-2545
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Country | US
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Telephone | 240-461-7968
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Fax |
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Provider Business Mailing Address
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Address Line | 814 DANZA RD
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City | SEVERN
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State | MD
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Zip | 21144-2130
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Country | US
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Telephone | 240-461-7968
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02449
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License Number State | MD
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