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General NPI Number Information
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NPI Number | 1801239967
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Entity Type | Individual
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Provider Name | ANNE M SMIAROWSKI PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 4350 JACKSON RD STE 200
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City | ANN ARBOR
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State | MI
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Zip | 48103-1889
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Country | US
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Telephone | 734-761-2581
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Fax | 734-761-9540
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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Country | US
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Telephone | 734-747-6766
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Fax | 734-222-3100
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1073673
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | MI
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