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General NPI Number Information
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NPI Number | 1750786620
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Entity Type | Individual
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Provider Name | JENNIFER SMOOT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 2104 W MAIN ST
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City | ARTESIA
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State | NM
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Zip | 88210-3714
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Country | US
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Telephone | 575-748-1599
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Fax | 575-208-7284
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Provider Business Mailing Address
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Address Line | 4214 ANDREWS HWY STE 240
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City | MIDLAND
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State | TX
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Zip | 79703-4817
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Country | US
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Telephone | 432-221-5965
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Fax | 432-221-5981
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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 | CNP-02511
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License Number State | NM
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