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General NPI Number Information
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NPI Number | 1164840880
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Entity Type | Individual
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Provider Name | RICHARD SNYDER RRT, RPSGT
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 650 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 602-277-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 30283 N WOODPIGEON DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-1274
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Country | US
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Telephone | 438-231-8524
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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 | 2279S1500X
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Taxonomy Name | SNF/Subacute Care Registered Respiratory Therapist
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License Number | L0005652
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number | Z0000113
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number | 16080
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 15852
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License Number State | FL
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