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General NPI Number Information
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NPI Number | 1780906248
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Entity Type | Organization
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Legal Business Name | ERIC L. SNYDER DDS
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 296 CHENOWETH CREEK ROAD ROUTE 1
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-636-6306
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Fax |
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Provider Business Mailing Address
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Address Line | RT 1 BOX 296
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-636-6306
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Fax | 304-636-6376
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC L. SNYDER
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Credential | DDS
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Telephone | 304-636-6306
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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 | 3768
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3210
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License Number State | WV
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