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General NPI Number Information
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NPI Number | 1730381070
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Entity Type | Individual
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Provider Name | CAROLINE C. SMYTHE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 212 SCOTT ST
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City | MT PLEASANT
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State | SC
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Zip | 29464-4345
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Country | US
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Telephone | 843-216-2119
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Fax | 843-881-0958
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Provider Business Mailing Address
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Address Line | 2016 WAPPOO DR
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City | CHARLESTON
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State | SC
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Zip | 29412-2051
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Country | US
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Telephone | 843-225-0180
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Fax | 843-881-0958
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD22677
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD15152
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License Number State | SC
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