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General NPI Number Information
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NPI Number | 1811554884
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Entity Type | Individual
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Provider Name | MEGAN LEIGH SMITH
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Gender | Female
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1224 TROTWOOD AVE
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City | COLUMBIA
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State | TN
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Zip | 38401-4802
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Country | US
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Telephone | 931-381-1111
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Fax | 931-490-7326
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Provider Business Mailing Address
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Address Line | 3711 BUFFALO RD
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City | SUMMERTOWN
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State | TN
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Zip | 38483-7160
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Country | US
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Telephone | 931-231-6336
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25813
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License Number State | TN
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