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General NPI Number Information
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NPI Number | 1528443322
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Entity Type | Organization
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Legal Business Name | JACKIE SNAPP, DDS, PLLC
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 20307 VIKING AVE NW SUITE 201
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City | POULSBO
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State | WA
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Zip | 98370-8321
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Country | US
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Telephone | 425-503-0885
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1151
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City | POULSBO
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State | WA
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Zip | 98370-0077
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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 | MEMBER
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Name | DR. JACQUELINE SNAPP
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Credential | D.D.S.
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Telephone | 425-503-0885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60575813
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License Number State | WA
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