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NPI 1689752693

NPI 1689752693 : RICHARD M SNOW MD : TUSCALOOSA, AL

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General NPI Number Information
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    NPI Number           |    1689752693
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD M SNOW MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    05/06/2009
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Provider Practice Location Address
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    Address Line         |    701 UNIVERSITY BLVD EAST SUITE 707
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    City                 |    TUSCALOOSA
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    State                |    AL
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    Zip                  |    35401
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    Country              |    US
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    Telephone            |    205-349-4047
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    Fax                  |    205-758-5132
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Provider Business Mailing Address
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    Address Line         |    701 UNIVERSITY BLVD EAST SUITE 707
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    City                 |    TUSCALOOSA
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    State                |    AL
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    Zip                  |    35401
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    Country              |    US
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    Telephone            |    205-349-4043
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    Fax                  |    205-758-5132
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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        |    207RS0012X
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    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
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    License Number       |    00006715
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    License Number State |    AL
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