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General NPI Number Information
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NPI Number | 1568575017
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Entity Type | Individual
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Provider Name | MARC E SNELSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 8900 DARROW RD STE H112
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City | TWINSBURG
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State | OH
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Zip | 44087-6802
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Country | US
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Telephone | 330-405-6661
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Fax | 330-405-0417
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Provider Business Mailing Address
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Address Line | 24701 EUCLID AVE
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City | EUCLID
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State | OH
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Zip | 44117-1714
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Country | US
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Telephone | 330-405-6661
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Fax | 330-405-0417
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.061731
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35061731
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License Number State | OH
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