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General NPI Number Information
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NPI Number | 1013372259
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Entity Type | Individual
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Provider Name | GEOFF R SNYDER DMSC, PA-C, ATC
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Gender | Male
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 1519 ALASKAN WAY S
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City | SEATTLE
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State | WA
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Zip | 98134-1102
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Country | US
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Telephone | 206-217-6432
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 ALASKAN WAY S
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City | SEATTLE
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State | WA
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Zip | 98134-1102
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Country | US
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Telephone | 206-217-6432
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA058045
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License Number State | PA
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