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General NPI Number Information
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NPI Number | 1093875718
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Entity Type | Individual
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Provider Name | MR. RYAN SNIDER
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3000 GUERNSEY ST
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City | BELLAIRE
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State | OH
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Zip | 43906-1540
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Country | US
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Telephone | 740-671-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 61780 HAWTHORN HILL ROAD
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City | SHADYSIDE
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State | OH
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Zip | 43947-1540
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Country | US
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Telephone | 740-676-8856
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA04993
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License Number State | OH
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