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NPI Code Detail

MEDICARE: RENE SMITH

MEDICARE: RENE SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse473437OH

General Provider Information

NPI Number : 1033063367
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE SMITH
Provider Business Mailing Address
First Line : 337 WYOMING ST
Second Line :
City : DAYTON
State : OH
Zip : 45410-1326
Country : US
Telephone Number : 937-818-8630
Fax Number :
Provider Business Practice Location Address
First Line : 1 ELIZABETH PL
Second Line :
City : DAYTON
State : OH
Zip : 45417-3445
Country : US
Telephone Number : 937-221-9216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/28/2026

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Directions to “ RENE SMITH ” Practice Location

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