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General NPI Number Information
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NPI Number | 1265405575
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Entity Type | Individual
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Provider Name | SNEHLATA V DAVE M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 597 MERRIMACK STREET LOWELL COMMUNITY HEALTH CENTER
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City | LOWELL
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State | MA
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Zip | 01854
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Country | US
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Telephone | 978-937-9700
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Fax | 978-446-9830
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Provider Business Mailing Address
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Address Line | 585 597 MERRIMACK STREET LOWELL COMMUNITY HEALTH CENTER
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City | LOWELL
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State | MA
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Zip | 01854
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Country | US
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Telephone | 978-937-9700
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Fax | 978-446-9830
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 56557
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License Number State | MA
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