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General NPI Number Information
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NPI Number | 1609079862
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Entity Type | Individual
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Provider Name | BETH ELLEN SNITZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 5000 MCKNIGHT RD SUITE 207
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City | PITTSBURGH
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State | PA
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Zip | 15237-3420
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Country | US
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Telephone | 412-519-7345
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Fax |
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Provider Business Mailing Address
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Address Line | 118 LEXINGTON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15215-3219
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Country | US
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Telephone | 412-781-1602
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Fax |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS016215
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License Number State | PA
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