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Individual
MARGO R SMITH
Active
Individual
MARGO R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01072148A
IN
207Q00000X
Family Medicine Physician
125058649
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201190840
—
IN
Enumeration date
10/06/2010
Last updated
09/18/2015
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