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General NPI Number Information
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NPI Number | 1134113707
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Entity Type | Individual
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Provider Name | PHILIP W SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 601 DODDS AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3911
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Country | US
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Telephone | 423-362-4000
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Fax | 423-362-4004
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Provider Business Mailing Address
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Address Line | 601 DODDS AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3911
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Country | US
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Telephone | 423-362-4000
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Fax | 423-362-4004
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD28619
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD28619
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License Number State | TN
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