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Individual
MRS. NATASHA L SMITH
Active
Individual
MRS. NATASHA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MHSA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1071652
NCCPA CERTIFICATE
—
01
—
5601004768
LICENSE
MI
Enumeration date
10/17/2006
Last updated
10/06/2025
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