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General NPI Number Information
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NPI Number | 1558693507
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Entity Type | Organization
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Legal Business Name | MARY SNELLINGS MD PLLC
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 2364 HIGHWAY 287 N SUITE 115
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City | MANSFIELD
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State | TX
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Zip | 76063-9208
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Country | US
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Telephone | 817-539-2214
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Fax | 817-539-2254
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Provider Business Mailing Address
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Address Line | 2364 HIGHWAY 287 N SUITE 115
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City | MANSFIELD
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State | TX
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Zip | 76063-9208
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Country | US
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Telephone | 817-539-2214
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Fax | 817-539-2254
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY B SNELLINGS
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Credential | MD
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Telephone | 817-539-2214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H7655
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License Number State | TX
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