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General NPI Number Information
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NPI Number | 1033376785
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Entity Type | Organization
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Legal Business Name | BRUCE SNIDER MD PA
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 20375 W 151ST ST SUITE 250
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City | OLATHE
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State | KS
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Zip | 66061-5350
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Country | US
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Telephone | 913-764-6262
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Fax | 913-764-6870
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Provider Business Mailing Address
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Address Line | 20375 W 151ST ST SUITE 250
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City | OLATHE
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State | KS
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Zip | 66061-5350
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Country | US
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Telephone | 913-764-6262
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Fax | 913-764-6870
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE BENJAMIN SNIDER
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Credential | M.D.
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Telephone | 913-764-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 04-23022
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License Number State | KS
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