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General NPI Number Information
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NPI Number | 1124059811
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Entity Type | Organization
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Legal Business Name | SNYDER & SCHIMMEL MD PA
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 6817 SOUTHPOINT PKWY SUITE 1403
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6282
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Country | US
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Telephone | 904-281-9711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 861927
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City | ORLANDO
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State | FL
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Zip | 32886-1927
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY J SNYDER
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Credential |
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Telephone | 904-281-9711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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