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General NPI Number Information
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NPI Number | 1720341183
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Entity Type | Organization
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Legal Business Name | STEVEN L SNIVELY MD PC
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 601 E HAMPDEN AVE STE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80113
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Country | US
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Telephone | 719-457-6200
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Fax | 303-788-5363
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Provider Business Mailing Address
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Address Line | 601 E HAMPDEN AVE STE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2788
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Country | US
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Telephone | 719-457-6200
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Fax | 303-788-5363
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN SNIVELY
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Credential | MD
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Telephone | 303-788-6445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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