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General NPI Number Information
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NPI Number | 1235900754
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Entity Type | Individual
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Provider Name | CANDACE SNYDER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 200 SW 62ND BLVD
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City | GAINESVILLE
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State | FL
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Zip | 32607-2083
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Country | US
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Telephone | 352-376-8211
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Fax | 352-373-7594
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Provider Business Mailing Address
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Address Line | 23476 NW 186TH AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-0673
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Country | US
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Telephone | 386-454-0698
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Fax | 386-454-0690
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW20190
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW20190
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License Number State | FL
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