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NPI 1407176282

NPI 1407176282 : SNOW BRENNER DAWS M.D. : KERNERSVILLE, NC

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General NPI Number Information
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    NPI Number           |    1407176282
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    Entity Type          |    Individual 
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    Provider Name        |    SNOW BRENNER DAWS M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2010
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    Last Update Date     |    10/26/2020
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Provider Practice Location Address
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    Address Line         |    1730 KERNERSVILLE MEDICAL PKWY STE 204 
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    City                 |    KERNERSVILLE
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    State                |    NC
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    Zip                  |    27284-7198
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    Country              |    US
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    Telephone            |    336-277-4460
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    Fax                  |    336-718-7989
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Provider Business Mailing Address
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    Address Line         |    PO BOX 60447 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28260-0447
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    Country              |    US
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    Telephone            |    336-718-7950
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    Fax                  |    916-703-5074
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    15825
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    207XX0004X
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    Taxonomy Name        |    Orthopaedic Foot and Ankle Surgery Physician
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    License Number       |    15825
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    License Number State |    NV
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    2015-00405
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    License Number State |    NC
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