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NPI 1780481531

NPI 1780481531 : ALIZE SNYDER : NILES, OH

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General NPI Number Information
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    NPI Number           |    1780481531
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    Entity Type          |    Individual 
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    Provider Name        |    ALIZE SNYDER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/28/2025
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    Last Update Date     |    02/28/2025
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Provider Practice Location Address
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    Address Line         |    165 E PARK AVE 
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    City                 |    NILES
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    State                |    OH
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    Zip                  |    44446-2352
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    Country              |    US
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    Telephone            |    330-544-8005
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    Fax                  |    330-544-9379
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Provider Business Mailing Address
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    Address Line         |    721 HIGH ST APT 92 
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    City                 |    BOWLING GREEN
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    State                |    OH
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    Zip                  |    43402-4275
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    Country              |    US
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    Telephone            |    586-636-1735
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    Fax                  |    
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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