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General NPI Number Information
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NPI Number | 1003827205
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Entity Type | Individual
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Provider Name | WHITAKER MICHAEL SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 366 MEADOWLAKE CIR
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City | SEYMOUR
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State | TN
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Zip | 37865-4971
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Country | US
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Telephone | 423-335-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 366 MEADOWLAKE CIR
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City | SEYMOUR
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State | TN
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Zip | 37865-4971
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Country | US
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Telephone | 423-335-3323
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 11537017
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101261890
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0000031792
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 61023437
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27188
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 305209
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.069231
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 84719
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License Number State | SC
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11943
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License Number State | SD
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME144976
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License Number State | FL
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