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General NPI Number Information
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NPI Number | 1548237266
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Entity Type | Organization
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Legal Business Name | M KEVIN SMITH MD PC
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE STE 104
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City | NASHVILLE
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State | TN
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Zip | 37205-4900
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Country | US
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Telephone | 615-383-4748
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50976
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City | NASHVILLE
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State | TN
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Zip | 37205-9998
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Country | US
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Telephone | 615-383-4748
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Fax | 615-383-9293
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Authorized Official
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Title or Position | SECRETARY
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Name | LISA SMITH
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Credential |
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Telephone | 615-612-3541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD27936
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License Number State | TN
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