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General NPI Number Information
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NPI Number | 1528883667
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Entity Type | Individual
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Provider Name | ALISON EDGE SMITH MSN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 8626 AIRWAYS BLVD
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City | SOUTHAVEN
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State | MS
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Zip | 38671-2603
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Country | US
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Telephone | 662-772-5937
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Fax | 662-772-5940
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Provider Business Mailing Address
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Address Line | 730 HONEYSUCKLE RD
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City | MOSCOW
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State | TN
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Zip | 38057-8797
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Country | US
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Telephone | 901-209-9644
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN200003216
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201519
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2341849
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-RXN.0102578-C-NP
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0103720-C-NP
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 38181
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 907210
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License Number State | MS
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