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General NPI Number Information
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NPI Number | 1316128127
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Entity Type | Organization
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Legal Business Name | SNYDER OBGYN
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 3980 SHERIDAN DR SUITE 400
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City | AMHERST
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State | NY
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Zip | 14226-1727
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Country | US
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Telephone | 716-929-2600
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Fax | 716-929-2493
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Provider Business Mailing Address
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Address Line | 3980 SHERIDAN DR SUITE 400
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City | AMHERST
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State | NY
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Zip | 14226-1727
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICISN
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Name | STEPHEN A MECHTLER
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Credential | M.D.
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Telephone | 716-929-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E84823
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License Number State | NY
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