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General NPI Number Information
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NPI Number | 1750015467
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Entity Type | Individual
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Provider Name | JOHN SNYDER DPT
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Gender | Male
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 8626 DORCHESTER RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29420-7328
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Country | US
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Telephone | 843-323-0174
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Fax | 888-856-3189
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Provider Business Mailing Address
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Address Line | 8626 DORCHESTER RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29420-7328
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Country | US
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Telephone | 843-323-0174
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Fax | 888-856-3189
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11032
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License Number State | SC
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