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General NPI Number Information
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NPI Number | 1760671374
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Entity Type | Organization
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Legal Business Name | SNYDER CHIROPRACTIC CARE, INC
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 388 DAMASCUS RD
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City | MARYSVILLE
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State | OH
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Zip | 43040-5535
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Country | US
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Telephone | 937-578-4019
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Fax | 937-642-2471
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Provider Business Mailing Address
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Address Line | 388 DAMASCUS RD
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City | MARYSVILLE
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State | OH
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Zip | 43040-5535
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Country | US
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Telephone | 937-578-4019
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Fax | 937-642-2471
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK A SNYDER
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Credential | DC
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Telephone | 937-578-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2390
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License Number State | OH
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