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1396973376 NPI number — TRAVIS H.W. SNYDER D.O.

NPI Number: 1396973376
Health Care Provider/Practitioner: TRAVIS H.W. SNYDER D.O.

Information about “1396973376” NPI (TRAVIS H.W. SNYDER D.O.) exists in 1396973376 in HTML format HTML  |  1396973376 in plain Text format TXT  |  1396973376 in PDF (Portable Document Format) PDF  |  1396973376 in an XML format XML  formats.

NPI Number : 1396973376 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396973376",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SNYDER",
    "FirstName": "TRAVIS",
    "MiddleName": "H.W.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6300 W TROPICANA AVE TRLR 73",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89103-4415",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-923-3714",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1611 NW 12TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33136-1005",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-923-3714",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2009",
    "LastUpdateDate": "02/03/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "5101018335",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "OS12448",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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