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Individual
MATTHEW SMITH
Active
Individual
MATTHEW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03720
PA
224P00000X
Prosthetist
Primary
CPO03720
PA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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