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General NPI Number Information
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NPI Number | 1972993756
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Entity Type | Individual
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Provider Name | ABIGAIL SMITH
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Gender | Female
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 137 E ELLIOT RD UNIT 2896
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City | GILBERT
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State | AZ
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Zip | 85299-6838
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Country | US
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Telephone | 310-908-1861
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Fax | 775-541-0833
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Provider Business Mailing Address
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Address Line | 19744 BEACH BLVD # 540
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2988
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Country | US
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Telephone | 949-710-0949
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Fax | 775-541-0833
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 2084N0400X
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License Number State | CA
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