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General NPI Number Information
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NPI Number | 1144669334
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Entity Type | Organization
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Legal Business Name | SNYDER OPHTHALMOLOGY AND OPHTHALMIC PLASTIC SURGERY PA
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 120 W PALMETTO PARK RD
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City | BOCA RATON
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State | FL
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Zip | 33432-3828
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Country | US
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Telephone | 561-395-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 2680 NW 41ST ST
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City | BOCA RATON
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State | FL
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Zip | 33434-2515
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Country | US
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Telephone | 917-355-1446
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CARA SNYDER
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Credential | MD
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Telephone | 917-355-1446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME113136
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License Number State | FL
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