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Individual
MR. WILLIAM C SMITH III
Active
Individual
MR. WILLIAM C SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002449
IN
363LF0000X
Family Nurse Practitioner
COA-06970-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200942240
—
IN
Enumeration date
06/30/2006
Last updated
08/22/2018
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