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General NPI Number Information
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NPI Number | 1548781834
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Entity Type | Individual
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Provider Name | ALLEN SNYDER LCSW-C
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Gender | Male
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 138 W WASHINGTON ST # 228
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City | HAGERSTOWN
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State | MD
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Zip | 21740-4734
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Country | US
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Telephone | 540-999-8418
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 973
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City | WESTMINSTER
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State | MD
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Zip | 21158-0973
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Country | US
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Telephone | 410-848-5785
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Fax | 410-848-5629
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19068
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License Number State | MD
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