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General NPI Number Information
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NPI Number | 1104396324
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Entity Type | Organization
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Legal Business Name | SNOW FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 2220 PLAINFIELD PIKE
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City | CRANSTON
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State | RI
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Zip | 02921-2031
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Country | US
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Telephone | 401-585-8500
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Fax | 401-942-2200
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Provider Business Mailing Address
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Address Line | 23 ARROWHEAD TRL
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City | NORTH SCITUATE
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State | RI
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Zip | 02857-2846
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Country | US
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Telephone | 401-585-8500
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Fax | 401-942-2200
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Authorized Official
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Title or Position | PROVIDER
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Name | KRISTEN ANN SNOW
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Credential | APRN, FNP-BC, NP-C
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Telephone | 401-585-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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