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NPI 1770669525

NPI 1770669525 : TODD ANDREW SNINSKI DMD : ROSEBORO, NC

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General NPI Number Information
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    NPI Number           |    1770669525
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    Entity Type          |    Individual 
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    Provider Name        |    TODD ANDREW SNINSKI DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/27/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    401 HWY 24 WEST 
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    City                 |    ROSEBORO
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    State                |    NC
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    Zip                  |    28382
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    Country              |    US
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    Telephone            |    910-525-5115
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    Fax                  |    910-525-3513
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1810 
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    City                 |    ROSEBORO
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    State                |    NC
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    Zip                  |    28382
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    Country              |    US
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    Telephone            |    910-525-5115
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    Fax                  |    910-525-3513
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    7517
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    License Number State |    NC
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