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General NPI Number Information
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NPI Number | 1306828199
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Entity Type | Individual
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Provider Name | NEIL S SNYDER DPM
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 16087 MANCHESTER RD
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City | ELLISVILLE
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State | MO
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Zip | 63011-2103
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Country | US
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Telephone | 636-230-3883
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Fax | 636-230-3884
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Provider Business Mailing Address
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Address Line | 16087 MANCHESTER RD
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City | ELLISVILLE
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State | MO
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Zip | 63011
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Country | US
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Telephone | 636-230-3883
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Fax | 636-230-3884
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 9410M1971
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 000660
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License Number State | MO
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