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Individual
JAMES M SMITH
Active
Individual
JAMES M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0150041
NY
225100000X
Physical Therapist
Primary
40QA00665400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00332998
RR MEDICARE
NJ
Enumeration date
06/09/2006
Last updated
02/03/2009
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