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General NPI Number Information
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NPI Number | 1053871913
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Entity Type | Individual
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Provider Name | JACOB ALLEN SMITHEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1211 S GLOSTER ST STE A
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City | TUPELO
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State | MS
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Zip | 38801-6548
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Country | US
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Telephone | 662-767-4200
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Fax | 662-767-4201
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Provider Business Mailing Address
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Address Line | 1211 S GLOSTER ST STE A
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City | TUPELO
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State | MS
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Zip | 38801-6548
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Country | US
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Telephone | 662-767-4200
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Fax | 662-767-4201
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 32650
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License Number State | MS
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