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General NPI Number Information
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NPI Number | 1912302829
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Entity Type | Individual
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Provider Name | ROSA SMITH APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 13100 WESTLINKS TER STE 8
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City | FORT MYERS
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State | FL
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Zip | 33913-8625
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Country | US
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Telephone | 239-202-0932
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Fax | 949-543-2509
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Provider Business Mailing Address
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Address Line | 13100 WESTLINKS TER STE 8
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City | FORT MYERS
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State | FL
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Zip | 33913-8625
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Country | US
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Telephone | 239-202-0932
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Fax | 949-543-2509
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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 | SP014025
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9265160
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License Number State | FL
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