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General NPI Number Information
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NPI Number | 1770763930
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Entity Type | Organization
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Legal Business Name | ORRENZO SNYDER MD MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 263 PEARSON DR STE 102
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City | PORTERVILLE
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State | CA
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Zip | 93257-3333
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Country | US
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Telephone | 559-772-4301
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Fax | 559-772-4302
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Provider Business Mailing Address
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Address Line | 263 PEARSON DR STE 102
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City | PORTERVILLE
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State | CA
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Zip | 93257-3333
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Country | US
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Telephone | 559-772-4301
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Fax | 559-772-4302
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ORRENZO B SNYDER
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Credential | MD
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Telephone | 801-935-1702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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