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General NPI Number Information
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NPI Number | 1104642990
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Entity Type | Individual
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Provider Name | EMMA ANN SNAVELY MS, LCGC
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | PARDEE CANCER WELLNESS CENTER 4201 CAMPUS RIDGE DRIVE
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City | MIDLAND
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State | MI
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Zip | 48670-0001
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Country | US
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Telephone | 989-794-0320
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Fax | 989-839-1458
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Provider Business Mailing Address
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Address Line | 2414 SWEDE AVE APT 1201
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City | MIDLAND
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State | MI
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Zip | 48642-4939
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Country | US
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Telephone | 319-457-0484
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 7201000587
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License Number State | MI
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