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General NPI Number Information
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NPI Number | 1700914058
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Entity Type | Individual
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Provider Name | RICHARD LAMAR SNYDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 MARKET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1400
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Country | US
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Telephone | 215-241-2438
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Fax | 215-241-3893
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Provider Business Mailing Address
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Address Line | 636 OLYMPIA HILLS CIR
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City | BERWYN
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State | PA
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Zip | 19312-1981
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Country | US
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Telephone | 484-320-8565
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Fax | 215-241-3893
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD029416E
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License Number State | PA
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