# DIANE E SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003893322
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0420013392 | VT | — |
| 207R00000X | Internal Medicine Physician | 042212 | CT | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | MD09423 | RI | Yes |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 06/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1026765 | — | VT |
| 01 | — | U400473648 | MEDICARE | RI |