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General NPI Number Information
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NPI Number | 1851874069
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Entity Type | Individual
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Provider Name | SUSANNE LESLIE SMITHSON APRN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 10151 ENTERPRISE CTR STE 102
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3760
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Country | US
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Telephone | 561-536-7884
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Fax |
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Provider Business Mailing Address
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Address Line | 9091 MELODY RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-4747
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Country | US
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Telephone | 561-634-0736
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9168900
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License Number State | FL
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