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Individual
DR. TIMOTHY SMITH
Active
Individual
DR. TIMOTHY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010563-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8891577
INDEPENDENT HEALTH
NY
01
—
C10563-7B
NYS WCB
NY
Enumeration date
01/04/2006
Last updated
07/22/2026
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