LATIFAH EBONY SMITH


Address: 5216 Leavells Crossing Dr, Fredericksburg, VA 22407-7706
Phone: 8433642895

LATIFAH EBONY SMITH (NPI# 1952806770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952806770
Entity Type Individual
Full Name LATIFAH EBONY SMITH
Practice Address 5216 Leavells Crossing Dr
Fredericksburg
VA 22407-7706
Practice Telephone 8433642895
Mailing Telephone 8433642895
Enumeration Date 2018-03-25
Last Update Date 2018-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 5216 LEAVELLS CROSSING DR
City FREDERICKSBURG
State VA
Zip Code 22407-7706

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1437675725 Jacqueline D. Turner Driver 7112 Sharon Rd, Fredericksburg, VA 22407 2017-08-17
1689199556 Audrey Daniel Driver 10701 Leavells Road, Fredericksburg, VA 22407 2017-08-11
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Taxonomy Information

Taxonomy Code 247200000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other

Taxonomy Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

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1003450123 Seyyed Hadi Roghani Technician, Other 7500 Bull Run Dr # 20121, Centreville, VA 20121-2501 2019-10-31
1467965632 Thuy Ngoc Ly Technician, Other 186 Meadowview Ln, Warrenton, VA 20186-3847 2017-11-09
1790204196 Virginia Lice Removal, LLC Technician, Other 1901 Huguenot Rd Ste 101, North Chesterfield, VA 23235-4311 2017-09-17
1760922975 Jacobra LLC Technician, Other 455 Carlisle Dr Ste B, Herndon, VA 20170-5621 2017-03-07
1780045054 Tiffany Marie Seick Technician, Other 4901 Falcon Creek Way, Apt 302, Hampton, VA 23666-0608 2016-03-15
1770954075 Meghan Macneil Technician, Other 2106 Gallows Road Suite E, Vienna, VA 22182 2015-10-13
1144611351 Vonda S George Technician, Other 5366 Palmyra Ct, Va Beach, VA 23462-3543 2015-02-10
1619368982 Laura Ann Mydlowski Technician, Other 1605 Bridle Creek Ct, Virginia Beach, VA 23464-8525 2015-02-09
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Competitor

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City FREDERICKSBURG
Zip Code 22407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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