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General NPI Number Information
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NPI Number | 1689836256
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Entity Type | Organization
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Legal Business Name | ROGER B. SNYDER, D.C., INC.
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 536 PEARL ST SUITE B
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2780
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Country | US
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Telephone | 419-352-9293
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Fax | 419-352-2380
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Provider Business Mailing Address
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Address Line | 536 PEARL ST SUITE B
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2780
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Country | US
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Telephone | 419-352-9293
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Fax | 419-352-2380
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROGER BURTON SNYDER
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Credential | D.C.
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Telephone | 419-352-9293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 699
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License Number State | OH
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