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General NPI Number Information
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NPI Number | 1255548749
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Entity Type | Organization
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Legal Business Name | PAUL B. SNOWDEN
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7200 S PENNSYLVANIA AVE SUITE D
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-3336
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Country | US
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Telephone | 405-682-8991
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Fax | 405-682-8030
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Provider Business Mailing Address
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Address Line | 7200 S PENNSYLVANIA AVE SUITE D
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-3336
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Country | US
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Telephone | 405-682-8991
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Fax | 405-682-8030
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL BRIAN SNOWDEN
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Credential | O.D.
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Telephone | 405-682-8991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2472
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License Number State | OK
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