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General NPI Number Information
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NPI Number | 1912097064
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Entity Type | Individual
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Provider Name | DONNA GALE SMITH FNP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 201 29TH ST SUITE B
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City | SACRAMENTO
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State | CA
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Zip | 95816-3271
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Country | US
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Telephone | 916-446-6921
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Fax | 916-446-0640
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Provider Business Mailing Address
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Address Line | 6337 DORCHESTER CT
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City | CARMICHAEL
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State | CA
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Zip | 95608-3441
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Country | US
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Telephone | 916-944-0798
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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 | NP 15515
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License Number State | CA
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