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Individual
SCOTT E. SMITH
Active
Individual
SCOTT E. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1832
WV
207Q00000X
Family Medicine Physician
Primary
34-00-5037
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006478
ANTHEM BCBS
—
01
—
000000181979
UNISON MEDICAID
OH
01
—
001714090
MOUNTAIN STATE BCBS
—
05
—
0053493000
—
WV
01
—
0797240
MOLINA MEDICAID
OH
05
—
0797240
—
OH
01
—
080101223
RR MEDICARE
—
01
—
310917085098
CARESOURCE MEDICAID
OH
Enumeration date
05/18/2006
Last updated
12/22/2020
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