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General NPI Number Information
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NPI Number | 1831738889
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Entity Type | Individual
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Provider Name | MARCELLA KAY SMITH
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Gender | Female
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Dates
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Enumeration Date | 12/21/2019
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 215 AIRPORT RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-4060
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Country | US
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Telephone | 501-623-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 297 TRIPLE R TRL
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City | ROYAL
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State | AR
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Zip | 71968-9003
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PD08520
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License Number State | AR
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