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General NPI Number Information
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NPI Number | 1376956540
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Entity Type | Individual
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Provider Name | NICOLE SNYDER LPC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 351 E. MAIN ST. SUITE 101
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City | BRIDGEPORT
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State | WV
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Zip | 26330-1845
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Country | US
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Telephone | 303-848-0303
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Fax | 304-269-9733
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Provider Business Mailing Address
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Address Line | 5 BROWN AVE
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City | WESTON
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State | WV
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Zip | 26452-2177
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Country | US
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Telephone | 304-269-3923
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Fax | 304-269-9733
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2131
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License Number State | WV
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