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Individual
DR. DEREK SMITH
Active
Individual
DR. DEREK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2013007171
MO
111N00000X
Chiropractor
2650
TN
111N00000X
Chiropractor
Primary
4980
WI
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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