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General NPI Number Information
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NPI Number | 1023142627
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Entity Type | Individual
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Provider Name | JANET ELIZABETH SNODDY M.D., MPH
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1880 PARTRIDGE RD NW
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City | CLEVELAND
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State | TN
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Zip | 37312-2136
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Country | US
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Telephone | 423-476-1655
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Fax | 423-336-4745
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Provider Business Mailing Address
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Address Line | 1880 PARTRIDGE RD NW
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City | CLEVELAND
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State | TN
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Zip | 37312-2136
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Country | US
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Telephone | 423-476-1655
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Fax | 423-336-4745
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD13437
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License Number State | TN
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