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General NPI Number Information
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NPI Number | 1902769714
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Entity Type | Organization
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Legal Business Name | SMA HEALTHCARE INC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1255 N STONE STREET
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City | DELAND
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State | FL
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Zip | 32720
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Country | US
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Telephone | 800-539-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 150 MAGNOLIA AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4304
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Country | US
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Telephone | 800-539-4228
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | JENNIFER MARIE UPCHURCH
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Credential |
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Telephone | 386-793-6911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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