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General NPI Number Information
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NPI Number | 1770341059
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Entity Type | Individual
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Provider Name | GENEVA L SMEDLEY CAP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 100 NW 33RD AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33069-1193
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Country | US
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Telephone | 561-613-3598
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Fax |
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Provider Business Mailing Address
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Address Line | 100 NW 33RD AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33069-1193
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Country | US
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Telephone | 561-613-3598
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ICADC.0000139
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCM.0103735
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP.0100494
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License Number State | FL
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