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General NPI Number Information
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NPI Number | 1194718296
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Entity Type | Individual
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Provider Name | KAMILIA SNYDER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 503 PIERCE ST
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1751
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Country | US
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Telephone | 248-645-1740
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Fax | 248-645-5304
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Provider Business Mailing Address
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Address Line | 503 PIERCE
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City | BIRMINGHAM
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State | MI
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Zip | 48009
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Country | US
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Telephone | 248-645-1740
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Fax | 248-645-5304
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | KS038090
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License Number State | MI
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