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General NPI Number Information
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NPI Number | 1851546766
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Entity Type | Individual
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Provider Name | CHRISTY S SMITH LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 2712 E JOHNSON AVE
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City | JONESBORO
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State | AR
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Zip | 72405-1874
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Country | US
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Telephone | 870-207-4167
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Fax |
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Provider Business Mailing Address
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Address Line | 2815 LONGVIEW DR
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City | JONESBORO
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State | AR
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Zip | 72401-5919
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Country | US
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Telephone | 870-243-0424
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Fax | 534-248-4225
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 5711-M
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License Number State | AR
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