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Individual
STEPHEN HARKNESS SMITH
Active
Individual
STEPHEN HARKNESS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J0271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134672809
—
TX
01
—
8U8637
BLUE CROSS
TX
Enumeration date
06/29/2006
Last updated
08/17/2009
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