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Individual
RANDALL DON SMITH
Active
Individual
RANDALL DON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59197541
BCBS ALABAMA
AL
01
—
Y7437
BCBS FLORIDA
FL
Enumeration date
12/22/2005
Last updated
11/07/2012
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