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General NPI Number Information
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NPI Number | 1831845981
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Entity Type | Individual
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Provider Name | IESHA SMITH
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Gender | Female
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 7777A DAVIE ROAD EXT
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2515
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Country | US
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Telephone | 305-927-1649
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 693376
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City | MIAMI
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State | FL
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Zip | 33269-0376
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Country | US
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Telephone | 786-585-0538
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CNA351155
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number | RT25051
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License Number State | FL
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