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General NPI Number Information
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NPI Number | 1154448348
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Entity Type | Individual
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Provider Name | TERESE K SNOWDEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 8200 E BELLEVIEW AVE 418C
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2803
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Country | US
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Telephone | 303-022-1037
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Fax | 303-796-9604
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Provider Business Mailing Address
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Address Line | 8200 E BELLEVIEW AVE 418C
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2803
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Country | US
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Telephone | 303-022-1037
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Fax | 303-796-9604
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25742
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License Number State | CO
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