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General NPI Number Information
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NPI Number | 1508084807
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Entity Type | Individual
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Provider Name | LELAND C SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 599 OAK RIDGE TPKE
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City | OAK RIDGE
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State | TN
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Zip | 37830-7177
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Country | US
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Telephone | 865-483-2568
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Fax | 865-482-4036
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Provider Business Mailing Address
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Address Line | 599 OAK RIDGE TPKE
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City | OAK RIDGE
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State | TN
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Zip | 37830-7177
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Country | US
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Telephone | 865-483-2568
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Fax | 865-482-4036
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD44934
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License Number State | TN
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