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General NPI Number Information
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NPI Number | 1205020203
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Entity Type | Individual
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Provider Name | ANDREA SNOW M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2007
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Last Update Date | 09/01/2007
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 310-222-2717
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Fax |
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Provider Business Mailing Address
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Address Line | 8315 BERGER AVE
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-8480
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Country | US
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Telephone | 310-710-3275
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A94816
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License Number State | CA
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