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General NPI Number Information
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NPI Number | 1730277443
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Entity Type | Individual
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Provider Name | JAMES EDWARD SNYDER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7404 CHAPEL HILL RD STE A
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City | RALEIGH
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State | NC
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Zip | 27607-5043
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Country | US
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Telephone | 919-513-1866
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Fax | 919-851-4311
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Provider Business Mailing Address
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Address Line | 4009 COUNTRY VILLAGE DR
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City | RALEIGH
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State | NC
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Zip | 27606-9202
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Country | US
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Telephone | 919-859-4903
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Fax | 919-515-8525
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0951
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License Number State | NC
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