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General NPI Number Information
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NPI Number | 1699114546
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Entity Type | Individual
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Provider Name | DAVID ERIC SNOOK D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 826 S BROADWAY ST
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City | PORTLAND
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State | TN
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Zip | 37148-1622
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Country | US
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Telephone | 615-826-7889
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Fax |
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Provider Business Mailing Address
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Address Line | 210 MIDDLE DAYLE DR
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City | PORTLAND
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State | TN
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Zip | 37148-2060
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Country | US
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Telephone | 217-260-7931
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038012478
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3516
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License Number State | TN
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