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General NPI Number Information
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NPI Number | 1962306183
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Entity Type | Individual
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Provider Name | NICOLE ELIZABETH SMITH
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Gender | Female
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 1548 W BROAD ST
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1001
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Country | US
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Telephone | 315-491-3097
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Fax |
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Provider Business Mailing Address
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Address Line | 425 LEEDOM ST
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City | JENKINTOWN
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State | PA
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Zip | 19046-2717
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Country | US
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Telephone | 315-491-3097
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP037335
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License Number State | PA
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