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General NPI Number Information
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NPI Number | 1790862001
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Entity Type | Individual
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Provider Name | TED G. SNEED PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 17 E 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99202-1201
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Country | US
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Telephone | 916-966-8375
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Fax | 360-253-5170
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Provider Business Mailing Address
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Address Line | 3328 W HORIZON AVE
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City | SPOKANE
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State | WA
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Zip | 99208-8812
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Country | US
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Telephone | 916-966-8375
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Fax | 530-622-2793
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY17786
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60516246
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License Number State | WA
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