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General NPI Number Information
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NPI Number | 1134233745
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Entity Type | Individual
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Provider Name | ERIC L SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 3173 KIRBY WHITTEN RD STE 104
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City | BARTLETT
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State | TN
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Zip | 38134-2881
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Country | US
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Telephone | 901-737-1992
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Fax | 901-309-8784
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Provider Business Mailing Address
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Address Line | 3173 KIRBY WHITTEN RD STE 104
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City | BARTLETT
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State | TN
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Zip | 38134-2881
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Country | US
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Telephone | 901-384-8040
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Fax | 901-888-4748
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 032043
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License Number State | TN
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