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General NPI Number Information
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NPI Number | 1639177967
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Entity Type | Individual
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Provider Name | GEORGE EDWARD SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 800 OAK RIDGE TPKE SUITE A-200
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City | OAK RIDGE
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State | TN
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Zip | 37830-6957
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Country | US
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Telephone | 865-483-2299
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Fax | 865-483-0707
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Provider Business Mailing Address
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Address Line | 800 OAK RIDGE TPKE SUITE A-200
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City | OAK RIDGE
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State | TN
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Zip | 37830-6957
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Country | US
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Telephone | 865-483-2299
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Fax | 865-483-0707
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD18955
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | MD18955
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License Number State | TN
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