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General NPI Number Information
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NPI Number | 1609728658
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Entity Type | Individual
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Provider Name | TRINITY SMITH
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Gender |
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 316 MCMINN AVE
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City | ATHENS
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State | TN
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Zip | 37303-4106
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Country | US
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Telephone | 423-745-3862
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Fax |
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Provider Business Mailing Address
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Address Line | 207 EVENINGSIDE DR
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City | SODDY DAISY
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State | TN
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Zip | 37379-4336
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Country | US
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Telephone | 978-400-0814
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | TN
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