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General NPI Number Information
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NPI Number | 1861600710
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Entity Type | Individual
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Provider Name | PAMELA S SMITH M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 848 1ST AVE N 350
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City | NAPLES
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State | FL
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Zip | 34102-6013
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Country | US
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Telephone | 239-398-3591
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Fax |
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Provider Business Mailing Address
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Address Line | 8432 S SCENIC DR
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City | MORRISON
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State | CO
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Zip | 80465-2533
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Country | US
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Telephone | 303-377-2030
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 823
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2287
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | SEX THERAPIST
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License Number State | FL
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