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General NPI Number Information
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NPI Number | 1609336510
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Entity Type | Individual
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Provider Name | KYLE SNYDER MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 9314 PARK WEST BLVD STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37923-4338
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Country | US
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Telephone | 865-524-1869
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Fax | 865-544-6533
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Provider Business Mailing Address
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Address Line | 1932 ALCOA HWY STE 360
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City | KNOXVILLE
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State | TN
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Zip | 37920-1509
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Country | US
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Telephone | 865-524-1869
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Fax | 865-544-6533
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 62149
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 62149
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License Number State | TN
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