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NPI Code Detail

MEDICARE: CASSANDRA MELENICE SMITH

MEDICARE:   CASSANDRA MELENICE 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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1801146618
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA MELENICE SMITH
Provider Business Mailing Address
First Line : 1200 N CAPITOL ST NW
Second Line : A413
City : WASHINGTON
State : DC
Zip : 20002-7503
Country : US
Telephone Number : 202-696-3234
Fax Number :
Provider Business Practice Location Address
First Line : 1836 TUBMAN ROAD SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-2851
Country : US
Telephone Number : 202-290-3256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2012
Last Update Date : 09/19/2012

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Directions to “ CASSANDRA MELENICE SMITH ” Practice Location

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