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General NPI Number Information
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NPI Number | 1457143869
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Entity Type | Organization
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Legal Business Name | SMARTT FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 140 VO TECH DR STE 4
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City | MCMINNVILLE
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State | TN
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Zip | 37110-1329
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Country | US
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Telephone | 615-624-1080
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Fax | 615-624-9168
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Provider Business Mailing Address
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Address Line | PO BOX 7252
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City | MCMINNVILLE
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State | TN
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Zip | 37111-7252
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Country | US
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Telephone | 931-507-2626
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Fax | 615-624-9168
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | JACQUELINE SMARTT
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Credential | MD
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Telephone | 931-607-2623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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