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General NPI Number Information
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NPI Number | 1689188278
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE SNOW CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 1400 LOCUST ST STE 5106
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City | PITTSBURGH
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State | PA
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Zip | 15219-5114
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Country | US
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Telephone | 412-648-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 111 WOODLAND DR
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City | FENELTON
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State | PA
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Zip | 16034-8717
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Country | US
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Telephone | 724-991-8802
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN640587
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP018221
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License Number State | PA
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