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Individual
DR. PAUL S. SMITH
Active
Individual
DR. PAUL S. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101026590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006203019
—
VA
01
—
160001765
MEDICARE
VA
01
—
C06527
MEDICARE GROUP NUMBER
—
Enumeration date
03/24/2006
Last updated
09/25/2014
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