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Individual
REX D SMITH
Active
Individual
REX D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00142
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22733-0
—
OR
01
—
831296000
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/19/2006
Last updated
03/05/2008
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