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General NPI Number Information
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NPI Number | 1740728005
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Entity Type | Individual
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Provider Name | MEISHA LORRAINE SMITH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 920 MEDICAL PLAZA BLVD 450
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City | HOUSTON
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State | TX
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Zip | 77090
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Country | US
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Telephone | 281-364-1700
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Fax | 281-364-1710
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Provider Business Mailing Address
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Address Line | 16755 ELLA BLVD 135
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City | HOUSTON
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State | TX
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Zip | 77090-4224
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Country | US
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Telephone | 281-364-1700
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Fax | 281-364-1710
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP132518
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License Number State | TX
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