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General NPI Number Information
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NPI Number | 1003350836
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Entity Type | Organization
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Legal Business Name | TERRY W. SMITH M.D., P.C.
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 6237 VANCE RD SUITE 3
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2954
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Country | US
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Telephone | 423-551-3940
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Fax | 423-305-7981
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Provider Business Mailing Address
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Address Line | 6237 VANCE RD SUITE 3
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2954
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Country | US
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Telephone | 423-551-3940
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Fax | 423-305-7981
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Authorized Official
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Title or Position | OWNER
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Name | TERRY SMITH
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Credential | MD
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Telephone | 423-551-3940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 15659
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License Number State | TN
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