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Individual
MR. WADE THOMAS SMITH
Active
Individual
MR. WADE THOMAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
117852
WV
363LF0000X
Family Nurse Practitioner
APRN9350693
FL
Other
Enumeration date
11/01/2017
Last updated
10/02/2025
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