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General NPI Number Information
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NPI Number | 1437364684
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Entity Type | Organization
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Legal Business Name | SNIDER FAMILY CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 1012 POPLAR ST.
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City | CLARKSVILLE
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State | AR
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Zip | 72830
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Country | US
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Telephone | 479-754-9550
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Fax | 479-754-9557
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Provider Business Mailing Address
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Address Line | 1012 POPLAR ST.
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City | CLARKSVILLE
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State | AR
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Zip | 72830
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Country | US
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Telephone | 479-754-9550
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Fax | 479-754-9557
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | JEFFREY S SNIDER
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Credential | D.C.
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Telephone | 479-754-9550
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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 | 1493
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License Number State | AR
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