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NPI Code Detail

MEDICARE: HANANIAH MARIE SMITH

MEDICARE: HANANIAH MARIE 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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1306705587
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANANIAH MARIE SMITH
Provider Business Mailing Address
First Line : 133 ALEXANDER AVE
Second Line :
City : AMHERST
State : OH
Zip : 44001-2073
Country : US
Telephone Number : 574-835-4860
Fax Number :
Provider Business Practice Location Address
First Line : 5500 S MARGINAL RD STE 210
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1073
Country : US
Telephone Number : 574-835-4860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ HANANIAH MARIE SMITH ” Practice Location

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