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General NPI Number Information
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NPI Number | 1053615617
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Entity Type | Organization
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Legal Business Name | SNODGRASS FAMILY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 2520 MCGEE DR STE 100
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City | NORMAN
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State | OK
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Zip | 73072-6703
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Country | US
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Telephone | 405-321-3777
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Fax | 405-321-3353
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Provider Business Mailing Address
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Address Line | 2520 MCGEE DR STE 100
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City | NORMAN
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State | OK
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Zip | 73072-6703
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Country | US
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Telephone | 405-321-3777
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Fax | 405-321-3353
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Authorized Official
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Title or Position | OWNER
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Name | CURTIS WADE SNODGRASS
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Credential | DC
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Telephone | 405-321-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4003
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License Number State | OK
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