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General NPI Number Information
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NPI Number | 1760789499
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Entity Type | Organization
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Legal Business Name | MARTIN J SNYDER DPM PC
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 1003 PITTSTON AVE
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City | SCRANTON
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State | PA
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Zip | 18505-4110
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Country | US
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Telephone | 570-343-1842
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Fax | 570-343-3597
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Provider Business Mailing Address
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Address Line | 1003 PITTSTON AVE
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City | SCRANTON
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State | PA
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Zip | 18505-4110
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Country | US
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Telephone | 570-343-1842
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Fax | 570-343-3597
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Authorized Official
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Title or Position | OWNER
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Name | MARTIN J SNYDER
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Credential | DPM
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Telephone | 570-343-1842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC002113L
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License Number State | PA
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