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General NPI Number Information
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NPI Number | 1669000295
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Entity Type | Individual
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Provider Name | SHANE BRITTON SNIDER DO
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Gender | Male
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 720 W OAK ST STE 201
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City | KISSIMMEE
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State | FL
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Zip | 34741-4998
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Country | US
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Telephone | 334-672-0980
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Fax |
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Provider Business Mailing Address
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Address Line | 720 W OAK ST STE 201
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City | KISSIMMEE
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State | FL
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Zip | 34741-4998
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Country | US
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Telephone | 334-672-0980
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101027656
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO.3430
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License Number State | AL
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