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General NPI Number Information
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NPI Number | 1144641101
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Entity Type | Organization
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Legal Business Name | JASON SNYDER PODIATRY P.C.
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1501 W. 6TH STREET SUITE 1A
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City | BROOKLYN
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State | NY
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Zip | 11204-4925
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Country | US
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Telephone | 718-331-1100
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Fax | 718-331-1101
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Provider Business Mailing Address
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Address Line | 1501 W. 6TH STREET SUITE 1A
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City | BROOKLYN
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State | NY
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Zip | 11204-4925
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Country | US
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Telephone | 718-331-1100
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Fax | 718-331-1101
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Authorized Official
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Title or Position | OWNER
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Name | DR. JASON CHARLES SNYDER
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Credential | D.P.M.
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Telephone | 216-225-3260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | NY006497
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License Number State | NY
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