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General NPI Number Information
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NPI Number | 1568045227
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Entity Type | Individual
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Provider Name | VIRGINIA KATHERINE SNYDER
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Gender | Female
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 332 S MAIN ST
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City | MARION
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State | OH
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Zip | 43302-5006
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Country | US
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Telephone | 740-382-0650
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Fax | 740-223-7566
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Provider Business Mailing Address
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Address Line | 332 S MAIN ST
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City | MARION
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State | OH
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Zip | 43302-5006
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Country | US
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Telephone | 740-382-0650
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Fax | 740-223-7566
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 09200192
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License Number State | OH
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