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General NPI Number Information
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NPI Number | 1316388044
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Entity Type | Organization
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Legal Business Name | SNYDER CHIROPRACTIC INC.
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 543 ORANGE AVE
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City | CORONADO
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State | CA
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Zip | 92118-1826
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Country | US
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Telephone | 314-255-8944
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Fax | 619-437-4909
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Provider Business Mailing Address
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Address Line | 543 ORANGE AVE
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City | CORONADO
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State | CA
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Zip | 92118-1826
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Country | US
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Telephone | 314-255-8944
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Fax | 619-437-4909
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JOSEPH NICHOLAS SNYDER
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Credential | D.C.
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Telephone | 314-255-8944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32166
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License Number State | CA
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