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General NPI Number Information
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NPI Number | 1669236964
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Entity Type | Individual
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Provider Name | BRIGITTE SNYDER CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 6850 LOWS RD STE 325B
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City | BLOOMSBURG
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State | PA
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Zip | 17815-8708
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Country | US
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Telephone | 570-317-2763
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Fax |
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Provider Business Mailing Address
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Address Line | 524 VISTA DR
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City | BERWICK
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State | PA
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Zip | 18603-5612
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Country | US
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Telephone | 570-317-7521
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP029261
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License Number State | PA
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