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General NPI Number Information
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NPI Number | 1639288293
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Entity Type | Individual
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Provider Name | RANDEL L SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 111 HIGHWAY 70 E STE G
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City | DICKSON
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State | TN
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Zip | 37055-2080
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Country | US
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Telephone | 615-515-1900
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Fax | 615-292-4633
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Provider Business Mailing Address
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Address Line | 111 HIGHWAY 70 E STE G
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City | DICKSON
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State | TN
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Zip | 37055-2080
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Country | US
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Telephone | 615-515-1900
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Fax | 615-292-4633
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 73627
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 15148
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 15148
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 73627
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License Number State | TN
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