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General NPI Number Information
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NPI Number | 1811377534
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Entity Type | Individual
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Provider Name | MARY KATHERINE MCCURDY SMITH CNP
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 340 E TOWN ST SUITE 8-200
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City | COLUMBUS
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State | OH
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Zip | 43215
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Country | US
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Telephone | 614-223-9135
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Fax | 614-223-1265
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Provider Business Mailing Address
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Address Line | 300 POLARIS PARKWAY SUITE 2500
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City | WESTERVILLE
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State | OH
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Zip | 43082
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Country | US
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Telephone | 614-846-0044
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Fax | 614-846-3464
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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 | 1-134272
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License Number State | AL
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