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NPI 1578636627

NPI 1578636627 : JAMES M. SNYDER D.D.S. : RANCHO CORDOVA, CA

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General NPI Number Information
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    NPI Number           |    1578636627
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES M. SNYDER D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/16/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2001 ZINFANDEL DR STE A5 
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    City                 |    RANCHO CORDOVA
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    State                |    CA
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    Zip                  |    95670-4265
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    Country              |    US
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    Telephone            |    916-638-5050
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    Fax                  |    916-638-0751
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Provider Business Mailing Address
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    Address Line         |    2001 ZINFANDEL DR STE A5 
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    City                 |    RANCHO CORDOVA
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    State                |    CA
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    Zip                  |    95670-4265
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    Country              |    US
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    Telephone            |    916-638-5050
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    Fax                  |    916-638-0751
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    34217
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    License Number State |    CA
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