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General NPI Number Information
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NPI Number | 1700884699
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Entity Type | Individual
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Provider Name | WILLIAM CHARLES SNOBERGER M.A.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 130 CENTER ST
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City | KEYSER
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State | WV
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Zip | 26726-3520
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Country | US
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Telephone | 304-788-1113
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Fax | 304-788-2777
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Provider Business Mailing Address
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Address Line | 130 CENTER ST
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City | KEYSER
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State | WV
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Zip | 26726-3520
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Country | US
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Telephone | 304-788-1113
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Fax | 304-788-2777
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 603
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 603
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 603
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License Number State | WV
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