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General NPI Number Information
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NPI Number | 1689204968
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Entity Type | Individual
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Provider Name | KRISTEN LAMM SMITH AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2020
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Last Update Date | 01/25/2020
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Provider Practice Location Address
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Address Line | 975 E 3RD ST
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 900 MOUNTAIN CREEK RD APT O182
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City | CHATTANOOGA
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State | TN
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Zip | 37405-4536
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Country | US
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Telephone | 252-315-7563
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 27081
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License Number State | TN
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