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Individual
CANDICE N SMITH
Active
Individual
CANDICE N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-32649
KS
207Q00000X
Family Medicine Physician
48402
WI
207Q00000X
Family Medicine Physician
52075
MN
207Q00000X
Family Medicine Physician
Primary
MD-38737
IA
Other
Enumeration date
11/18/2005
Last updated
05/03/2023
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