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Individual
KARL SMART
Active
Individual
KARL SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
581186
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
17645
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN279645
GA
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
2794
CA
Other
Enumeration date
05/15/2008
Last updated
03/30/2022
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