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General NPI Number Information
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NPI Number | 1720644396
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Entity Type | Individual
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Provider Name | KARINNA ANN SNELLING
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Gender | Female
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Dates
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Enumeration Date | 05/19/2019
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Last Update Date | 05/19/2019
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Provider Practice Location Address
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Address Line | 15440 CUB RUN HWY
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City | CUB RUN
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State | KY
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Zip | 42729-8603
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Country | US
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Telephone | 270-331-9015
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Fax |
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Provider Business Mailing Address
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Address Line | 106 CRESTVIEW LN
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City | MAMMOTH CAVE
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State | KY
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Zip | 42259-7804
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Country | US
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Telephone | 270-331-9015
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 248199
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License Number State | KY
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