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General NPI Number Information
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NPI Number | 1467855122
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Entity Type | Individual
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Provider Name | EMILY WILLOUGHBY SNYDER ATC
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Gender | Female
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 2851 COLD SPRINGS RD # 2
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-9006
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Country | US
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Telephone | 207-423-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 2851 COLD SPRINGS RD # 2
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-9006
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Country | US
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Telephone | 207-423-3278
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 104.0106368
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 001612
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License Number State | NY
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