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General NPI Number Information
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NPI Number | 1801321179
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Entity Type | Organization
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Legal Business Name | SMILE DOCTORS OF TENNESSEE, PC
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 152 HERITAGE PARK DR
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City | MURFREESBORO
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State | TN
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Zip | 37129-1505
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Country | US
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Telephone | 615-848-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 152 HERITAGE PARK DR
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City | MURFREESBORO
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State | TN
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Zip | 37129-1505
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Country | US
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Telephone | 615-848-0011
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Fax |
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | KIM SCHLEPPY
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Credential |
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Telephone | 970-224-4294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6997
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License Number State | TN
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