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General NPI Number Information
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NPI Number | 1346927589
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Entity Type | Organization
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Legal Business Name | DEDICATED PSYCHIATRIC SERVICES, PLLC
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 101 INDIAN CENTER CT STE 1
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City | KINGSPORT
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State | TN
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Zip | 37660-4690
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Country | US
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Telephone | 423-343-9156
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Fax | 423-343-9276
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Provider Business Mailing Address
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Address Line | 101 INDIAN CENTER CT STE 1
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City | KINGSPORT
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State | TN
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Zip | 37660-4690
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Country | US
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Telephone | 423-343-9156
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Fax | 423-343-9276
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Authorized Official
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Title or Position | PMHNP-BC/ PRESIDENT
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Name | ANGEL M SMITH
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Credential | PMHNP-BC
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Telephone | 423-366-6013
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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 |
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License Number State |
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