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NPI Code Detail

MEDICARE: JASON SMITH

MEDICARE: JASON 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
13747P1801XPersonal Care AttendantWV

General Provider Information

NPI Number : 1255288759
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON SMITH
Provider Business Mailing Address
First Line : 100 N 1ST ST
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-2714
Country : US
Telephone Number : 304-624-3641
Fax Number :
Provider Business Practice Location Address
First Line : 100 N 1ST ST
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-2714
Country : US
Telephone Number : 304-624-3641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ JASON SMITH ” Practice Location

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