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General NPI Number Information
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NPI Number | 1255152021
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Entity Type | Individual
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Provider Name | NICOLE SNYDER CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 25 MONUMENT RD
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City | YORK
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State | PA
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Zip | 17403-5060
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Country | US
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Telephone | 717-741-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 108 N CONSTITUTION AVE
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City | NEW FREEDOM
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State | PA
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Zip | 17349-9510
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Country | US
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Telephone | 717-487-6469
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP031061
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License Number State | PA
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