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General NPI Number Information
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NPI Number | 1134563950
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Entity Type | Individual
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Provider Name | CHRISTOPHER SNELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST QIC 22134
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-437-4965
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Fax |
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Provider Business Mailing Address
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Address Line | 4356 W POINT LOMA BLVD APT L
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City | SAN DIEGO
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State | CA
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Zip | 92107-1172
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Country | US
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Telephone | 619-861-8887
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A133265
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License Number State | CA
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