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General NPI Number Information
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NPI Number | 1306028139
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Entity Type | Individual
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Provider Name | PATRICIA E SNIDER OTRL
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Gender | Female
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 215 DEPOT CT SE SUITE 350
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City | LEESBURG
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State | VA
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Zip | 20175-3017
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Country | US
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Telephone | 240-357-5925
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Fax |
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Provider Business Mailing Address
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Address Line | 9063 DAWN CT
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City | MYERSVILLE
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State | MD
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Zip | 21773-7815
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Country | US
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Telephone | 240-357-5925
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 02808
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License Number State | MD
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