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General NPI Number Information
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NPI Number | 1366755159
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Entity Type | Individual
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Provider Name | CHERYL MARIA SNYDER DDS
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Gender | Female
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4280 LAVISTA RD STE C117
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City | TUCKER
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State | GA
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Zip | 30084-5315
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Country | US
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Telephone | 678-688-4811
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Fax |
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Provider Business Mailing Address
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Address Line | 3478 LAKESIDE DR NE UNIT 614
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City | ATLANTA
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State | GA
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Zip | 30326-1908
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Country | US
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Telephone | 615-719-0449
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 122922
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9352
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3846
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN122922
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License Number State | GA
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