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General NPI Number Information
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NPI Number | 1679569941
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Entity Type | Individual
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Provider Name | ANGELA B. SNOWDEN NP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 815 BRANDE DR
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City | EATON
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State | OH
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Zip | 45320-2562
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Country | US
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Telephone | 373-363-8979
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Fax |
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Provider Business Mailing Address
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Address Line | 815 BRANDE DR
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City | EATON
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State | OH
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Zip | 45320-2562
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Country | US
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Telephone | 937-336-3897
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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 | COA.17744-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71000639A
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License Number State | IN
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