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Individual
JENNIFER S SMITH
Active
Individual
JENNIFER S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
014046
ME
208M00000X
Hospitalist Physician
Primary
14046
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3261040099
—
ME
Enumeration date
07/08/2005
Last updated
07/05/2012
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