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General NPI Number Information
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NPI Number | 1215420112
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Entity Type | Individual
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Provider Name | AMANDA ELIZABETH SNYDER CNM, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 6740 4TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-5350
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Country | US
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Telephone | 484-252-1986
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Fax |
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Provider Business Mailing Address
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Address Line | 19 TEMPLE CT
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City | BROOKLYN
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State | NY
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Zip | 11218-1211
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Country | US
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Telephone | 484-252-1986
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95008642
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 235928
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License Number State | CA
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