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General NPI Number Information
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NPI Number | 1952689390
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Entity Type | Individual
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Provider Name | ETHEL ELIZABETH SMITH APRN
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Gender | Female
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 27810 SUMMERGATE BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6919
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Country | US
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Telephone | 813-388-2948
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Fax | 813-388-6827
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Provider Business Mailing Address
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Address Line | 27810 SUMMERGATE BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6919
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Country | US
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Telephone | 813-388-2948
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Fax | 813-388-6827
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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 | APRN11023049
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.12467-NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN001807
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP5466
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11023049
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License Number State | FL
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