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Individual
MR. TIMOTHY PATRICK SMITH
Active
Individual
MR. TIMOTHY PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005214
NC
Other
Enumeration date
06/25/2017
Last updated
08/03/2022
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