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General NPI Number Information
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NPI Number | 1518276237
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Entity Type | Organization
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Legal Business Name | SNYDER SPORTS & CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 3723 HARLEM RD
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City | BUFFALO
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State | NY
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Zip | 14215-1907
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Country | US
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Telephone | 716-939-2787
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Fax |
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Provider Business Mailing Address
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Address Line | 3723 HARLEM RD
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City | BUFFALO
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State | NY
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Zip | 14215-1907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | JENNIFER A SCHUETZE
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Credential | D.C.
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Telephone | 716-939-2787
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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 | X011886
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License Number State | NY
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