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General NPI Number Information
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NPI Number | 1750387718
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Entity Type | Individual
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Provider Name | DAVID LEE SNYDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 108 RAMBLEWOOD RD
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City | MOORESTOWN
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State | NJ
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Zip | 08057-2628
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Country | US
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Telephone | 856-296-9407
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Fax | 856-727-9337
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Provider Business Mailing Address
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Address Line | 108 RAMBLEWOOD RD
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City | MOORESTOWN
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State | NJ
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Zip | 08057-2628
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Country | US
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Telephone | 856-296-9407
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Fax | 856-727-9337
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD025294E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA04403100
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License Number State | NJ
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