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General NPI Number Information
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NPI Number | 1720535164
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Entity Type | Individual
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Provider Name | DAVID SNYDER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 189 BROOKLAWN ST
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City | FARRAGUT
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State | TN
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Zip | 37934-2875
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Country | US
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Telephone | 865-671-7917
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Fax |
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Provider Business Mailing Address
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Address Line | 721 AERONCA RD
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City | KNOXVILLE
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State | TN
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Zip | 37919-7002
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Country | US
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Telephone | 865-803-8184
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 40331
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License Number State | TN
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