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NPI Code Detail

MEDICARE: SHARI SMITH PRS, CDCA

MEDICARE: SHARI SMITH PRS, CDCA
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
1175T00000XPeer Specialist0001850OH

General Provider Information

NPI Number : 1881298115
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARI SMITH PRS, CDCA
Provider Business Mailing Address
First Line : 874 WILLARD AVE SE
Second Line :
City : WARREN
State : OH
Zip : 44484-4432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 960 BOARDMAN CANFIELD RD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44512-4220
Country : US
Telephone Number : 330-953-1977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 11/27/2020

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Directions to “ SHARI SMITH PRS, CDCA” Practice Location

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