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General NPI Number Information
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NPI Number | 1265371447
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Entity Type | Organization
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Legal Business Name | SNOWRIDGE INC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 9409 GRANITE HL
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City | COLUMBIA
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State | MD
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Zip | 21046-1930
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Country | US
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Telephone | 240-423-9136
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Fax |
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Provider Business Mailing Address
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Address Line | 9409 GRANITE HL
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City | COLUMBIA
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State | MD
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Zip | 21046-1930
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Country | US
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Telephone | 240-423-9136
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. MARSHA B. CLARKE
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Credential | CLARKE
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Telephone | 240-423-9136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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