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General NPI Number Information
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NPI Number | 1578717963
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Entity Type | Organization
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Legal Business Name | MATHEW A. SNIDER, D.C., A CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 481 S MURPHY AVE
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City | SUNNYVALE
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State | CA
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Zip | 94086-6115
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Country | US
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Telephone | 408-736-7777
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Fax | 408-736-0700
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Provider Business Mailing Address
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Address Line | 481 S MURPHY AVE
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City | SUNNYVALE
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State | CA
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Zip | 94086-6115
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Country | US
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Telephone | 408-736-7777
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Fax | 408-736-0700
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATHEW ALEXANDER SNIDER JR.
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Credential | D.C.
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Telephone | 408-736-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7831
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License Number State | CA
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