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General NPI Number Information
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NPI Number | 1265220263
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Entity Type | Organization
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Legal Business Name | DAVID P. SNIEZEK, DC, MD, MBA, PLLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1749 OLD MEADOW RD STE 200
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City | MC LEAN
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State | VA
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Zip | 22102-4310
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Country | US
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Telephone | 703-506-8471
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Fax | 202-403-0578
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Provider Business Mailing Address
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Address Line | 1749 OLD MEADOW RD STE 200
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City | MC LEAN
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State | VA
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Zip | 22102-4310
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Country | US
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Telephone | 703-506-8471
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Fax | 202-403-0578
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID PAUL SNIEZEK
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Credential | DC, MD, MBA
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Telephone | 703-409-4649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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