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General NPI Number Information
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NPI Number | 1528748043
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE SNYDER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 1425 S GREENFIELD RD STE 101
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City | MESA
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State | AZ
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Zip | 85206-5505
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Country | US
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Telephone | 480-964-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 E ROSEBUD DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-6328
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Country | US
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Telephone | 219-775-9677
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 297024
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN195997
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License Number State | AZ
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