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NPI Code Detail

MEDICARE: ASIA SMITH HHA

MEDICARE: ASIA SMITH HHA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramHHA9593DC
2374U00000XHome Health AideHHA9593DC

General Provider Information

NPI Number : 1568891042
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASIA SMITH HHA
Provider Business Mailing Address
First Line : 379 37TH PL SE APT 102
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3270
Country : US
Telephone Number : 202-770-8978
Fax Number :
Provider Business Practice Location Address
First Line : 1707 L ST NW STE 900
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-4208
Country : US
Telephone Number : 202-829-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 03/13/2018

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Directions to “ ASIA SMITH HHA” Practice Location

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