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General NPI Number Information
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NPI Number | 1952034324
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Entity Type | Individual
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Provider Name | ALQWANNA SMITH RCSWI
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3333 CLARK RD STE 170
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City | SARASOTA
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State | FL
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Zip | 34231-8435
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Country | US
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Telephone | 561-802-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 845 PALM BEACH RD APT 1323
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City | SOUTH BAY
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State | FL
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Zip | 33493-2031
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW18696
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License Number State | FL
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