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General NPI Number Information
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NPI Number | 1336341544
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Entity Type | Organization
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Legal Business Name | WILLIAM J. SMEAD, MD, PC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 E CHURCH ST
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City | GREENEVILLE
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State | TN
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Zip | 37745-6219
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Country | US
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Telephone | 423-639-6848
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Fax | 423-787-7210
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Provider Business Mailing Address
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Address Line | 801 E CHURCH ST
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City | GREENEVILLE
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State | TN
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Zip | 37745-6219
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Country | US
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Telephone | 423-639-6848
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Fax | 423-787-7210
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM J. SMEAD
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Credential | M.D.
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Telephone | 423-639-6848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 010986
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License Number State | TN
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