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Individual
SMITA SANDEEP PATHAK
Active
Individual
SMITA SANDEEP PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185561
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639886138
—
VA
05
—
30017626990001
—
VA
Enumeration date
11/03/2022
Last updated
10/18/2023
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