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Individual
MR. VINCENT PAUL SMITH
Active
Individual
MR. VINCENT PAUL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1047272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87724301
—
TX
Enumeration date
08/07/2006
Last updated
10/26/2011
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