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NPI 1912769886

NPI 1912769886 : SMITH HOLISTIC CARE, LLC : HOUGHTON, MI

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General NPI Number Information
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    NPI Number           |    1912769886
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    Entity Type          |    Organization 
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    Legal Business Name  |    SMITH HOLISTIC CARE, LLC 
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Dates
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    Enumeration Date     |    01/26/2024
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    Last Update Date     |    06/26/2025
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Provider Practice Location Address
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    Address Line         |    902 RAZORBACK DR STE 5 
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    City                 |    HOUGHTON
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    State                |    MI
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    Zip                  |    49931-2802
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    Country              |    US
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    Telephone            |    906-524-4006
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    Fax                  |    833-740-3401
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Provider Business Mailing Address
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    Address Line         |    23276 SKANEE ROAD 
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    City                 |    SKANEE
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    State                |    MI
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    Zip                  |    49962-9040
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    Country              |    US
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    Telephone            |    906-231-0369
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    Fax                  |    833-740-3401
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JAMIE LYNN SMITH 
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    Credential           |    L.AC., NBC-HWC, LMT
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    Telephone            |    906-301-0046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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