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General NPI Number Information
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NPI Number | 1093749111
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Entity Type | Individual
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Provider Name | SAMUEL SNYDER DO
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 2815 S SEACREST BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7969
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Country | US
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Telephone | 561-292-4949
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Fax | 561-292-4612
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Provider Business Mailing Address
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Address Line | 2815 S SEACREST BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7969
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Country | US
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Telephone | 561-292-4949
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Fax | 561-292-4612
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | OS 6909
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License Number State | FL
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