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General NPI Number Information
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NPI Number | 1225310469
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Entity Type | Individual
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Provider Name | MICAH L SNYDER DDS
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Gender | Female
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 3379 NE RALPH POWELL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064
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Country | US
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Telephone | 816-787-8778
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Fax | 816-272-0446
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Provider Business Mailing Address
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Address Line | 3379 NE RALPH POWELL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064
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Country | US
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Telephone | 816-787-8778
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Fax | 816-272-0446
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 60856
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2011016319
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License Number State | MO
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