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General NPI Number Information
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NPI Number | 1164806501
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Entity Type | Individual
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Provider Name | LEE SNYDER M.S.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 351 HARTNELL AVE
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City | REDDING
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State | CA
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Zip | 96002-1845
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Country | US
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Telephone | 530-244-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1257 E HENRY CLAY AVE
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City | FT WRIGHT
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State | KY
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Zip | 41011-3719
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Country | US
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Telephone | 859-750-7545
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 0024A
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License Number State | KY
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