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General NPI Number Information
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NPI Number | 1205654753
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Entity Type | Individual
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Provider Name | MEGAN MARIE SMILEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1926 ALCOA HWY MEDICAL BUILDING F SUITE 210
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City | KNOXVILLE
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State | TN
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Zip | 37920
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Country | US
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Telephone | 865-305-2495
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Fax |
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Provider Business Mailing Address
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Address Line | 1926 ALCOA HWY MEDICAL BUILDING F SUITE 210
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City | KNOXVILLE
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State | TN
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Zip | 37920
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Country | US
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Telephone | 865-305-2495
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 6407
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License Number State | TN
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