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General NPI Number Information
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NPI Number | 1790477628
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Entity Type | Individual
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Provider Name | SHARON ANISE SMITH APRN
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 209 E 86TH CT STE D
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6259
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Country | US
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Telephone | 219-242-7822
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Fax | 219-803-1404
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Provider Business Mailing Address
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Address Line | 209 E 86TH CT STE D
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6259
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Country | US
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Telephone | 219-242-7822
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Fax | 219-803-1404
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11038858
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 28251057A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 71013963A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71013963A
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License Number State | IN
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