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General NPI Number Information
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NPI Number | 1336794304
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Entity Type | Individual
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Provider Name | REBECCA GRACE SMITH PACE
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Gender | Female
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 310 W 3RD NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-4038
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Country | US
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Telephone | 423-581-4761
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Fax |
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Provider Business Mailing Address
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Address Line | 4522 TWIN PINES DR
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City | KNOXVILLE
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State | TN
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Zip | 37921-5154
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Country | US
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Telephone | 865-279-4918
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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