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General NPI Number Information
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NPI Number | 1467831115
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Entity Type | Organization
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Legal Business Name | MICHAEL J. SNYDER, D.C.
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 3900 BIRCH ST STE 104
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2202
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Country | US
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Telephone | 949-229-5297
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 BIRCH ST STE 104
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2202
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Country | US
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Telephone | 949-229-5297
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. MICHAEL JAMES SNYDER
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Credential | D.C.
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Telephone | 949-229-5297
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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 | DC22930
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License Number State | CA
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