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General NPI Number Information
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NPI Number | 1073702767
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Entity Type | Individual
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Provider Name | ERICA MICHELLE SNIDER-GOMEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 427 SE 2ND ST
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City | BELLE GLADE
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State | FL
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Zip | 33430-3511
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Country | US
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Telephone | 561-996-0960
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Fax | 561-996-0960
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Provider Business Mailing Address
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Address Line | 1416 BETA CIR
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City | LAKE CLARKE SHORES
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State | FL
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Zip | 33406-7810
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Country | US
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Telephone | 586-567-2127
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN17837
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License Number State | FL
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