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General NPI Number Information
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NPI Number | 1952215659
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Entity Type | Individual
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Provider Name | VANESSA SMITH CGC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 3500 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4395
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Country | US
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Telephone | 215-590-3062
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Fax | 215-590-1234
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Provider Business Mailing Address
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Address Line | 3615 CIVIC CENTER BLVD # 516G
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4318
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Country | US
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Telephone | 215-590-3062
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Fax | 215-590-1234
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | GC001140
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License Number State | PA
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