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Individual
DR. LINDA SMITH
Active
Individual
DR. LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1180
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092279000
—
WV
01
—
P00318600
RAILROAD MEDICARE
WV
Enumeration date
12/20/2006
Last updated
08/09/2010
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