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NPI Code Detail

MEDICARE: RICHARD SMITH

MEDICARE: RICHARD 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
1251E00000XHome Health Agency39-4724398NM

General Provider Information

NPI Number : 1336006295
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD SMITH
Provider Business Mailing Address
First Line : 6222 ROSEMARY RD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-0861
Country : US
Telephone Number : 575-323-0456
Fax Number :
Provider Business Practice Location Address
First Line : 6222 ROSEMARY RD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-0861
Country : US
Telephone Number : 575-323-0456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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